侧髓综合征的延迟发病:一个病例报告
Lexi Garber1,2, LaTeya Foxx3
1Department of Osteopathic Medicine, Lake Erie College of Osteopathic Medicine, Bradenton, USA.
Cureus
|March 17, 2025
概括
侧髓综合征 (LMS) 或瓦伦伯格综合征是一种罕见的中风. 这一案例突出显示了五天内不寻常的症状进展,强调了诊断中风的演变.
科学领域:
- 神经学 神经学
- 血管神经学 血管神经学
- 脑卒中医学 脑卒中医学
背景情况:
- 侧髓综合征 (LMS),也称为瓦伦伯格综合征,是一种罕见的后部循环中风.
- 它通常涉及后下大脑小动脉或脊椎动脉.
- 通常,LMS会呈现出一套不同的神经系统症状.
研究的目的:
- 讨论一个左侧LMS病例,症状呈现延迟.
- 在LMS的背景下强调中风演变的概念.
- 强调在诊断中考虑中风进展的重要性,即使最初的结果是负面的.
主要方法:
- 一个72岁的男性被诊断为左侧LMS的病例报告.
- 最初出现,随后五天后出现经典的LMS症状.
- 诊断基于体检,并通过重复扩散权重MRI证实.
主要成果:
- 患者在最初的头症状和经典的LMS症状出现之间经历了五天的延迟.
- 这种渐进的发作在缺血性中风中不寻常,包括LMS.
- 这一案例说明了中风的演变,症状随着时间的推移而逐渐恶化,原因是缺血或心脏病扩散的恶化.
结论:
- 在LMS和其他缺血性中风中,可以出现延迟和演变的症状.
- 临床医生必须考虑中风的演变,即使最初的诊断研究是负面的.
- 身体检查对于诊断LMS等疾病至关重要,成像提供确认.
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