论文部分内容阅读
1病例报告患者女,31岁,因突发左侧肢体活动不灵、言语不流利3于2013年10月14日入院。发病时无头痛、恶心呕吐及抽搐不伴有意识不清,一般状态尚可。既往有晕厥病史但未就诊近5年来一直口服避孕药物。急诊行头颅CT检查未见异常专科检查:神志清,精神状态差,言语欠流利,双瞳孔等大、正圆,颈软无抵抗,Kerning、Brudzinski征阴性,嗅觉、视力、听力粗测正常,无眼震,左侧肢体病理征阳性。颈动脉彩超检查示双侧颈总动脉管壁三层结构消失,动脉内膜不规则增厚;右颈
A case report A 31-year-old patient was admitted to hospital on October 14, 2013 due to a sporadic unbalanced movement of the left limb. No headache, nausea, vomiting and convulsions are not associated with unconsciousness, the general state is acceptable. Past history of syncope but not treated nearly 5 years has been oral contraceptives. Emergency line skull CT examination showed no abnormalities specialist examination: clear mind, poor mental state, speech unfamiliar, double pupil and other large, round, soft neck non-resistance, Kerning, Brudzinski sign negative, smell, eyesight, No nystagmus, the left limb pathology sign positive. Carotid ultrasound examination revealed bilateral common carotid artery wall disappeared three layers, irregular thickening of the intima; right neck