*仅供医学专业人士参考阅读
层层剖析,提升临床诊疗思维。
病例简介
定位、定性诊断
手结区脑梗死(低灌注-栓子清除率下降)
高血压1级(很高危)
高尿酸血症
高同型半胱氨酸血症
总结与讨论
[1]Caulo M,Briganti C,Mattei PA,Perfetti B,Ferretti A,Romani GL,Tartaro A,Colosimo C.New morphologic variants of the hand motor cortex as seen with MR imaging in a large study population.AJNR Am J Neuroradiol.2007 Sep;28(8):1480-5.
[2]高雅,王震寰.大脑皮层手运动区的形态学研究[J].蚌埠医学院学报,2016,41(2):145-147.DOI:10.13898/j.cnki.issn.1000-2200.2016.02.002.
[3]Folyovich A,Varga V,Várallyay G,Kozák L,Bakos M,Scheidl E,Béres-Molnár KA,Kajdácsi Z,Bereczki D.A case report of isolated distal upper extremity weakness due to cerebral metastasis involving the hand knob area.BMC Cancer.2018 Oct 3;18(1):947.
[4]Peters N,Müller-Schunk S,Freilinger T,Düring M,Pfefferkorn T,Dichgans M.Ischemic stroke of the cortical'hand knob'area:stroke mechanisms and prognosis.J Neurol.2009 Jul;256(7):1146-51.
[5]Celebisoy M,Ozdemirkiran T,Tokucoglu F,et al.Isolated hand palsy due to cortical infarction:localization of the motor hand area.[J]Neurologist.2007,13(6):376-379.
[6]Castaldo J,Rodgers J,Rae-Grant A,Barbour P,Jenny D.Diagnosis and neuroimaging of acute stroke producing distal arm monoparesis.J Stroke Cerebrovasc Dis.2003 Nov-Dec;12(6):253-8.
[7]Lee SJ.Recurrent Patent Foramen Ovale-Related Cerebral Infarcts Alternately Causing Bilateral Hand Paresis.Case Rep Neurol.2017 Aug 31;9(2):210-215.
[8]付洁,张明,漆学良.手结区梗死的临床特点与诊疗现状[J].中国脑血管病杂志,2020,17(8):482-485.DOI:10.3969/j.issn.1672-5921.2020.08.011.
[9]Wang Y,Dong Q,Li SJ,Hu WL.New clinical characteristics and risk factors of hand knob infarction.Neurol Sci.2018 May;39(5):857-862.
[10]olyovich A,Varga V,Várallyay G.et al.A case report of isolated distal upper extremity weakness due to cerebral metastasis involving the hand knob area.[J]BMC Cancer.2018,18(1):947.
[11]Phan TG,Evans BA,Huston J.Pseudoulnar palsy from a small infarct of the precentral knob.[J]Neurology.2000,54(11):2185.
[12]冯新红,王也,武剑.结区脑梗死致假性尺神经麻痹一例[J].中国脑血管病杂志,2018,15(3):151-152.
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