与后脑动脉变体 (弧形动脉) 双边胸膜梗塞:一个病例报告
Langping Ling1, Lingjia Xu2, Yang Zhou2
1Department of Emergency Internal Medicine, Shaoxing Second Hospital, Shaoxing, Zhejiang, China.
Medicine
|December 20, 2024
概括
双边胸膜梗塞是一种罕见的后部循环中风,可导致老年人昏昏欲睡. 通过成像和透食管回声心脏成像的快速诊断确定了圆孔为病因,导致成功治疗.
科学领域:
- 神经学 神经学
- 血管神经学 血管神经学
- 心脏病学 心脏病学
背景情况:
- 双边胸膜梗塞是一种罕见的后部循环中风,在老年人中经常表现为意识下降.
- 动脉样硬化是常见的原因,但心脏病发作或悖论性血栓塞也可能导致胸膜病变.
研究的目的:
- 在老年患者中调查双边胸膜梗塞的病因和治疗方法.
- 强调在老年人中中风诊断中考虑矛盾栓塞的重要性.
主要方法:
- 一名69岁的男性出现了突然的昏昏欲睡;CT显示了双边的胸膜病变.
- 磁力共振成像证实了后部循环心脏病发作;血管造影表明了栓塞.
- 经食道心声扫描发现了一种专利的卵巢孔.
主要成果:
- 患者经历了突然出现的昏昏欲睡,诊断为双侧胸膜梗塞.
- 圆孔被确定为悖论性栓塞的来源.
- 卵巢孔的干预性关闭导致了成功的恢复.
结论:
- 患有突然意识衰退的老年患者需要评估甲状腺病变,特别是脑梗塞.
- 跨食道心声学和数字减去血管学有助于病因诊断和预防策略.
- 悖论性栓塞是老年人的诊断挑战,需要综合,定制的治疗方法.
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