当中风模仿周围神经损伤时:一个孤立的手腕下降病例报告
Tai Anjuk Lama1, Himal Karki2, Kishor Khadka1
1Department of General Practice and Emergency Medicine, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal.
JNMA; journal of the Nepal Medical Association
|March 5, 2026
概括
孤立的手腕下降是一种罕见的中风症状,可以模仿其他疾病. 这一案例凸显了认识到它是急性缺血性中风的潜在迹象,以便及时诊断和治疗的重要性.
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:
- 孤立的手腕下降是一种不常见的中风呈现.
- 它可以为临床医生创造诊断挑战.
- 及时诊断对于有效的中风管理至关重要.
研究的目的:
- 报告一个孤立的手腕下降病例作为唯一的神经缺陷.
- 用神经成像来说明诊断过程.
- 为了强调在非典型的表现中对中风的认识.
主要方法:
- 一个65岁的男性患有高血压和糖尿病.
- 头部初始非对比计算机断层扫描 (CT) 扫描.
- 大脑的扩散权重磁共振成像 (DW-MRI).
主要成果:
- 正常的非对比CT扫描.
- 在DW-MRI检测中,发现了右侧前和后叶的急性缺血性心脏病发作.
- 诊断的孤立的左手腕下降次要中风确认.
结论:
- 孤立的手腕下降可能是急性缺血性中风的罕见但显著的表现.
- 警和适当的神经成像是避免诊断延迟的关键.
- 早期使用抗血小板药物,他类药物和物理治疗的治疗导致了临床改善.
相关概念视频
Assessment of radial pulse
1.9K
Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
1.9K
Ischemic Stroke l: Introduction
53
Ischemic stroke is an acute cerebrovascular condition in which blood flow to a brain region is suddenly interrupted, leading to tissue infarction. Neurons depend on continuous oxygen and glucose supply, so even brief reductions in perfusion cause energy failure, ionic imbalance, and irreversible injury. Ischemic strokes are classified into thrombotic and embolic types based on their underlying mechanisms.Thrombotic MechanismsThrombotic stroke develops when a clot forms within a cerebral artery.
53
Ischemic Stroke ll: Pathophysiology
68
An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...
68


