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作为单边外围面部呈现的双边冠状辐射中心脏病发作:一个病例报告

Gao Zheng-Hua¹, Lu Yao¹, Lin Song-Jun²

¹The fourth Clinical Medical College of Guangzhou University of Chinese Medicine, No.1 Fuhua Road, Futian District, Shenzhen, 518033, Guangdong, China.

|April 24, 2025

概括

大脑中风可以模仿周围面部 (PFP). 双边冠状炎放射性心脏病发作在一名患者中引起了类似PFP的症状,强调需要考虑中央病变以避免误诊.

科学领域:

神经学神经学
神经成像是一种神经成像.
电动肌图学电动肌图学

背景情况:

单侧外围面部 (PFP) 通常涉及下部运动神经元功能障碍.
面部神经疾病可以呈现出各种不同的临床表现.

研究的目的:

报告一个病例,单边外围面部的症状是双边脑梗塞的次要症状.
强调在PFP的差异诊断中考虑中心病变的重要性.

主要方法:

一个56岁的男子的病例报告,面部单方面垂垂和四肢虚弱.
磁共振成像 (MRI) 用于识别大脑病变.
针式电肌图 (EMG) 用于评估外围神经和肌肉功能.

主要成果:

核磁共振扫描显示左侧冠状线辐射缺口性心脏病发作和右侧急性心脏病发作.
针头EMG的结果并不显著.
患者的单边外围面部状症状被归因于双边冠状辐射性心脏病发作.

结论:

大脑中风,特别是双边冠状放射性心脏病发作,可以表现为单边外围面部的症状.
临床医生必须在PFP的差异诊断中考虑中枢神经系统病变,以防止误诊.
这一案例强调了中风呈现的变异性和综合神经学评估的重要性.

关键词:

双边冠状炎辐射性心脏病发作面部中部面部中部面部外围面部外围

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