散发性克-雅氏病一例
发布时间：2019-07-29 17:01
【摘要】：正病例资料患者,女,77岁,因反应迟钝、找词困难、记忆力下降半个月入院。既往有脑梗死病史,否认外伤、输血及家族史。入院查体:反应迟钝,瞬时记忆力下降,找词困难。咽反射减弱,伸舌左偏,悬雍垂左偏,余神经系统查体(-)。EEG示脑内无异常尖慢及棘慢综合波。常规MRI示右侧延髓梗死灶,左侧基底节区及右侧桥小脑臂腔隙性脑梗死,白质脑病,脑萎缩;DWI示双侧额、顶、颞、枕和岛叶皮质及海马可见异常稍高信号
[Abstract]:The female, aged 77, was admitted to hospital for half a month because of slow response and difficulty finding words. Previous history of cerebral infarction, denial of trauma, blood transfusion and family history. Admission examination: slow response, decreased instantaneous memory, difficult to find words. Pharynx reflex decreased, tongue extension left deviation, uvula left deviation, residual nervous system examination (-). EEG) showed no abnormal sharp slow and slow spikes in the brain. Conventional MRI showed right medulla oblongata infarction, left basal ganglia and right cerebellopontine arm lacunar infarction, white matter encephalopathy, cerebral atrophy, and DWI showed slightly abnormal high signal intensity in bilateral forehead, parietal, temporal, occipital and insular cortex and hippocampus.
【作者单位】： 武汉科技大学附属天佑医院神经内科;武汉科技大学附属天佑医院磁共振室;
【分类号】：R742;R445.2
[Abstract]:The female, aged 77, was admitted to hospital for half a month because of slow response and difficulty finding words. Previous history of cerebral infarction, denial of trauma, blood transfusion and family history. Admission examination: slow response, decreased instantaneous memory, difficult to find words. Pharynx reflex decreased, tongue extension left deviation, uvula left deviation, residual nervous system examination (-). EEG) showed no abnormal sharp slow and slow spikes in the brain. Conventional MRI showed right medulla oblongata infarction, left basal ganglia and right cerebellopontine arm lacunar infarction, white matter encephalopathy, cerebral atrophy, and DWI showed slightly abnormal high signal intensity in bilateral forehead, parietal, temporal, occipital and insular cortex and hippocampus.
【作者单位】： 武汉科技大学附属天佑医院神经内科;武汉科技大学附属天佑医院磁共振室;
【分类号】：R742;R445.2
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