 Wysłany: Pią 18:27, 25 Mar 2011 Temat postu: Aberrant right subclavian artery a case _13461 |
|
| Aberrant right subclavian artery in one case
Spinal fluid. Pressure drop of 80 / rnin Pungo reaction f + +). Cells 0.001x10 / L, protein. . 0g, sugar 4.0rnmoi / I, Cl 123. Ummol / L, the other was normal, the bottom shows papilledema mole to give the system dehydration, bleeding, reduce intracranial pressure, infection in the cut, the condition gradually re, in the hospital at 4 pm on day 2 of high intracranial pressure crisis appears suddenly, breathing, heartbeat pause, was rescued after the escape. Day 3 was alleviated, the first 4 days repeated exacerbations, neck strong (thirty), Keni Ge public disorder (thirty), consider the symptoms of high intracranial pressure, it is recommended to superiors Hospital of head CT scan, the results considered lesions income homes gallbladder surgery pathology meningeal stromal tumors, 7 days after discharge. Example 2: A male patient, 71 years old. Sudden slurred speech, not working with the right limbs and a half months in 1992, admitted 17 March 1O. Examination: BP20/10KPa, Shen Qing, complete motor aphasia, right nasolabial fold flat, Shenshe middle, neck strong (disabilities), palpable right neck swelling of the thyroid 5.0cm × 4.0cm, quality hard, tenderness (+). Supraclavicular fossa, axilla, groin, lymph nodes, etc. does not touch the right limb muscle strength grade 3, low muscle tone, tendon reflexes slow. Babinski syndrome (disabilities). Fundus examination was papilledema, arterial thinning, highly reflective A: V ----- 1. 3, brain water check: the naked eye as a colorless, transparent, pressure 60 drops / rain, Pan's reaction (who), WBC : 0.002 × 10. / L, RBC0.4 × 10. / L (wrong to wear), protein 0.6g / L, glucose 3.66mmol / L,herve leger outlet, Cl 123.0mmol / L. Clinical diagnosis: cerebral infarction, thyroid tumors (to be other than cancer), giving vasodilators, nutrition, treatment of nerve disease gradually re, in the treatment of the first 10 days of emotion indifferent and not eating aphasia, right limb muscle strength 0, muscle tension reduce anti-l9 · shoot slow tendon. Babinski syndrome (+), for definitive diagnosis - Jin was admitted to the line head CT scan. See frontal lobe, occipital lobe, parietal lobe multiple low density lesions, ill-defined, Chih-lateral compression variant translocation. Look examination: brain metastases strong. Family refused any treatment and discuss the automatic withdrawal of Hospitals: clinical brain tumor patients were less grave, because they did not appear before the three main symptoms of high intracranial pressure and to stroke in the form of the disease, often misdiagnosed as Affect the treatment. Stroke in this group are in the form of the disease, usually swelling and pain is the onset of slow, gradual weight, longer course. The group had no history of headache, sudden onset. Increased intracranial pressure was not obvious, beginning to see the former case appeared papilledema, trauma to increase incentives. Suddenly, after a case of aphasia, hemiplegia, gradually re-appeared urinary incontinence, ignoring papilledema. Goiter is not attention. C1 scanned by the head, were found in lesions. Misdiagnosed because of its intellectual pecking that: ① too much emphasis on signs of high intracranial pressure and position, number can only consider a long history of cancer, in particular, the main foot papilledema levy, or do not take into account the gradual emergence of this group of former papilledema, the latter with sulfuric acid has been identified papilledema and delay in diagnosis. ② The group is only concerned about the neglect of stroke history and fine detailed examination, the disease was improved by the neck shield, I only pay attention to disease progression As the extension of Shen diagnosis (save the result, and one had bloody, a 1E often, and tolerance slightly due to the other 8 Ji stroke made the original Leica. who reported five brain tumors bow i can dish out from under the L in this chamber. i can not meet in the next bed, hemorrhage of the diagnosis, but should look for the reasons sum _x glass . j: application to disease and death within a shoulder lesion, in addition to thatch Xiankao child cerebrovascular r lame, but still have to consider transfer of brain tumor or abscess of the stop. shall, kg head CT scan, brain MRI, EEG , angiography, digital subtraction and other tests for early diagnosis and early treatment, early rehabilitation. on |
|
