在前脑动脉中风后出现腹部肌的病例报告
Ksenia Nokhrina1, Jana Wold1, Meera Raghavan1
1Department of Neurology, University of Utah, Salt Lake City, UT, US.
Tremor and other hyperkinetic movements (New York, N.Y.)
|December 22, 2025
概括
在前脑动脉 (ACA) 心脏病发作后出现了一种罕见的中风后腹部肌. 这种运动障碍通过抗药物治疗得到解决,突出显示出缺血性中风的独特表现.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 脑卒中医学 脑卒中医学
背景情况:
- 脑卒中后的运动障碍并不常见.
- 腹部肌是一种罕见的疾病,其特征是非自愿的腹部肌肉收缩.
- 前脑动脉中风 (ACA) 是一种影响大脑前部的中风.
研究的目的:
- 报告一个独特的腹部肌瘤病例,是ACA心脏病发作的次要病例.
- 讨论这种罕见疾病的临床表现,诊断结果和治疗方法.
- 突出皮层腹部肌肉作为ACA缺血性中风的潜在表现.
主要方法:
- 一个75岁的男性患者的病例报告,患有急性右侧软弱和腹部肌.
- 脑梗塞通过神经成像 (MRI/CT) 得到证实.
- 进行了脑电图 (EEG) 检查,以排除型活动;排除了肌肉的其他原因.
主要成果:
- 患者出现了非自愿的,节奏的腹肌收缩.
- 图像检查显示,急性左侧ACA心脏病发作,涉及前中心.
- 头皮脑电图显示没有形放电,并排除了其他原因. 腹部肌瘤通过静脉注射 levetiracetam 解决.
结论:
- 皮层腹部肌细胞瘤可能是ACA缺血性中风的罕见表现.
- 在这种情况下,EEG上的形异常可能并不总是存在的.
- 抗药物可以有效地解决中风引起的腹肌.
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