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1病例介绍患者,男,40岁,主因“突发左侧肢体无力2 h”于2011年3月30日入院。患者2 h前安静状态下无明显诱因出现左侧肢体无力,伴言语不清、不能行走、意识模糊。无视物旋转、视物成双、耳鸣、恶心、呕吐,无饮水呛咳及吞咽困难,无流涎,无肢体抽搐,无大小便失禁。当日就诊于首都医科大学附属北京朝阳医院急诊,行头颅磁共振成像(magneticresonance imaging,MRI)示:右侧额叶、顶叶、颞叶、枕叶、岛叶及右侧基底节区等大脑中动脉供血区可见大片浅淡状略长T_1、长T_2信号,弥散加权
1 case description The patient, male, 40 years old, mainly due to “sudden left limb weakness 2 h ” on March 30, 2011 admitted. Patients 2 h before the silent state no obvious incentive to appear on the left limb weakness, with words unclear, can not walk, confusion. Ignore the object rotation, depending on the material into double, tinnitus, nausea, vomiting, cough and dysphagia without drinking water, no salivation, no limb twitch, no incontinence. On the same day, they visited the emergency department of Beijing Chaoyang Hospital affiliated to Capital Medical University and showed magneticresonance imaging (MRI): in the brains of the right frontal lobe, parietal lobe, temporal lobe, occipital lobe, insula and right basal ganglia A large area of arterial blood supply can be seen as shallow slightly T_1 long T_2 signal, diffusion weighted