论文部分内容阅读
报告一例高血压病人,男性,33岁,右利手。入院前晚喝少量酒,回家后久睡不易唤醒。检查发现;病人清醒合作血压160/120mmHg,脉率80次/分,失语。右侧中枢性面瘫,右臂无力,可疑右侧同向偏肓,右侧腱反射中度亢进。脑脊液检查除压力略高外,余正常。右颈动脉造影见颈内动脉在其分叉前阻塞,伴脑底部稠密,细小血管网形成。颈部颈内动脉明显发育不良。经右肱动脉造影证实右侧颈内动脉也有类似的Moyamoya变化;大脑后动脉由椎动脉供血,充盈良好;双侧大脑前和中动脉经后胼周血管丛逆行充盈。入院二周后行右颞浅动脉大脑
Report a case of hypertensive patients, male, 33 years old, right hand. Drink a small amount of alcohol before going to hospital, wake up after going home for a long time is not easy to wake up. Check found; patient sober cooperation blood pressure 160 / 120mmHg, pulse rate 80 beats / min, aphasia. The right side of the central paralysis, right arm weakness, suspicious of the right side to the tendon, right tendon reflex moderate hyperkinetic. In addition to the pressure of cerebrospinal fluid examination slightly higher, more than normal. Right carotid artery angiography in the bifurcation of the internal carotid artery occlusion, with the brain at the bottom of dense, small vascular network formation. Neck carotid artery was significantly dysplasia. Right brachial artery angiography confirmed that the right internal carotid artery has a similar Moyamoya changes; posterior cerebral artery blood supply from the vertebral artery, filling well; bilateral anterior cerebral artery and middle cerebral artery retrograde pericardial plexus filling. Two weeks after admission, the right superficial temporal artery was performed