心在大脑中的心脏
Somarajan Anandan1, Parameswaran Krishnan2
1Consultant Neurologist, Department of Neurology, St Joseph's Mission Hospital, Kollam, Kerala, India, ORCID: https://orcid.org/0000-0002-7449-8468, Corresponding Author.
The Journal of the Association of Physicians of India
|December 15, 2024
概括
双侧中枢髓梗塞导致糖尿病患者突然四肢和缺动动. 早期的大脑MRI揭示了特有的"心脏信号",导致中风治疗方案和部分恢复.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 血管医学 血管医学
背景情况:
- 糖尿病和慢性病是脑血管事件的重要危险因素.
- 骨髓梗塞虽然很罕见,但会导致严重的神经系统缺陷.
- 突然发作的神经系统缺陷需要迅速和准确的诊断.
研究的目的:
- 报告双边中枢髓梗塞的病例,呈现四肢.
- 突出扩散权重核磁共振在识别髓梗塞的诊断实用性.
- 讨论这种罕见的中风亚型的临床表现和管理.
主要方法:
- 一个52岁的男性患有糖尿病和慢性病的案例介绍.
- 临床检查记录了渐进式四肢和脱节症.
- 大脑MRI,包括扩散加权成像 (DWI) 和MRA.
主要成果:
- 在DWI中,双边中枢髓中的扩散限制,形成"心脏信号".
- 在MRA上发现左脊椎动脉狭窄.
- 用中风方案治疗的患者,显示部分康复.
结论:
- 双边中枢髓梗塞可能会出现严重的运动缺陷和肌痛性关节障碍.
- 酒后驾驶的"心脏标志"是诊断这种疾病的关键成像发现.
- 及时诊断和管理对于中枢髓中风的潜在恢复至关重要.
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