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患者,女,47岁,因右侧肢体无力伴言语不清1d入院。患者于住院前2周因发作性右侧肢体无力住院治疗,NIHSS评分为0分,头部核磁未见异常。颈部血管彩色多普勒超声示左侧颈动脉球部后壁内中膜增厚,左侧颈动脉斑块。心脏彩色多普勒超声示左室舒张功能减低。各项血生化检查均正常。住院1d前再次出现右侧肢体力弱,且出现言语不利,NIHSS评分为7分,头部核磁示左侧基底节区、室旁急性梗死。头颈部血管
Patient, female, 47 years old, admitted to hospital on 1d with poor speech on the right hand side. Patients were hospitalized for episodes of episodes of right limb weakness 2 weeks prior to admission, with a NIHSS score of 0 and no abnormalities in the head MRI. Color Doppler ultrasound of the neck vessels showed thickening of the medial wall of the posterior wall of the left carotid bulb, and left carotid plaque. Cardiac color Doppler ultrasound showed decreased left ventricular diastolic function. All blood biochemical tests were normal. On the 1st day before hospitalization, the right limb was weak again and the speech was unfavorable. The NIHSS score was 7 points. The left side of the head showed the basal ganglia and the paraventricular acute infarction. Head and neck blood vessels