双侧小脑中脚华勒变性1例

发布时间：2018-04-29 01:37

本文选题：小脑中脚 + 言语不清　；参考：《广东医学》2017年21期

【摘要】：正患者,男,73岁,因言语不清、肢体无力5个月、加重2个月于2016年10月5日入院。患者5个月前因突发言语不能、肢体无力至当地医院就诊,颅脑MRI示双侧脑桥长T1、T2信号及DWI弥散受限;双侧小脑中脚未见异常信号。颅脑MRA示颅内血管走行僵直,多发管腔不规则狭窄。诊断为脑梗死,予抗小板聚集、降脂、改善循环及康复治疗后好转出院,遗留双侧肢体力弱,可自行站立,家属扶助方能行走,仍言语不清。2个月来患者逐渐出现四肢活动笨拙,起身站立困难,言语障碍加重,感头晕不
[Abstract]:The patient, 73 years old, was admitted to hospital on October 5, 2016, due to inarticulate speech and physical weakness for 5 months. The patient was unable to speak suddenly 5 months ago, and his limbs were weak. The craniocerebral MRI showed that the T _ 1T _ 2 signal and DWI diffusion of bilateral pontine were limited, and no abnormal signal was found in the bilateral cerebellum. Craniocerebral MRA showed stiffness of intracranial vessels and irregular stenosis of multiple lumen. Diagnosis of cerebral infarction, anti-lamellar aggregation, lipid lowering, circulation improvement and rehabilitation treatment after the improvement and discharge, left bilateral limbs weak, can stand on their own, family assistance can walk, Over the past two months, the patient has gradually developed clumsy movements of the limbs, difficulty in standing up, aggravation of speech disorders, and lack of feeling of dizziness
【作者单位】：九江学院附属医院神经内科;
【分类号】：R742

【相似文献】