内囊性心脏病发作与孤立的急性混乱的非典型呈现:一个病例报告
Morgan W Hayden1, Karen Chouhan2
1Internal Medicine, The Grange University Hospital, Cwmbran, GBR.
Cureus
|December 8, 2025
概括
影响内部囊的皮层下脑中风可能会导致诸如混乱之类的认知问题,而不仅仅是运动缺陷. 早期的磁共振成像 (MRI) 对于诊断这些非典型的中风呈现至关重要.
科学领域:
- 神经学 神经学
- 神经成像是一种神经成像.
- 脑卒中医学 脑卒中医学
背景情况:
- 内部囊中风通常会导致运动或感觉缺陷,原因是皮质脊髓和胸皮层纤维受损.
- 然而,特定的皮层下路径的参与可能导致认知障碍,而不是运动或感官症状.
研究的目的:
- 报告一个70岁的老妇人的病例,由于皮层下心脏病发作,她出现了急性混乱和难以找到单词的情况.
- 要强调内部囊中风可以呈现出孤立的认知症状,强调识别非典型表现的重要性.
主要方法:
- 计算机断层扫描 (CT) 脑部扫描最初报告为急性缺血或出血的阴性.
- 磁共振成像 (MRI) 揭示了左内的后肢急性心脏病发作,延伸到中间叶和尾状核.
主要成果:
- 患者出现了急性混乱和难以找到单词的困难,这是内部囊中风的非典型症状.
- 在诊断和治疗后,认知症状迅速改善.
结论:
- 皮下心脏病发作,特别是在内部囊中,可以表现为孤立的认知缺陷.
- 通过MRI进行早期诊断对于适当的管理至关重要,包括抗凝药和二次预防,特别是在心房等疾病患者中.
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