The clinical characteristics of MRI of acute cerebral infarction are full of dry goods!

*Only for medical professionals to read the reference suggestion collection! From August 5th to 6th, 2021, at the "2nd Huashan International Forum on Cognitive and Brain Diseases and the 15th China Neurology Forum", Professor He Zhiyi from the Department of Neurology of the First Affiliated Hospital of China Medical University gave us a speech He shared a wonderful lecture on the theme of "clinical characteristics of acute cerebral infarction head MRI"
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Due to the large amount of content, it is divided into multiple issues, with a total of eight issues, and this article is the seventh issue
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Phase 1: Clinical features of acute cerebral infarction head MRI, super interpretation Phase 2: Clinical features of acute cerebral infarction head MRI Phase 2 "Super interpretation" Phase 3: Clinical features of acute cerebral infarction MRI, all Dry goods! Phase 4: Clinical features of acute cerebral infarction MRI, super interpretation Phase 5: Clinical features of acute cerebral infarction MRI, super comprehensive summary Phase 6: Clinical features of acute cerebral infarction MRI, super interpretation In this issue, the main introduction Limb numbness caused by thalamic infarction, multiple symmetric lipoma complicated with acute cerebral infarction, cerebral infarction caused by polycythemia vera, cerebral infarction caused by plasma cell leukemia, ischemic hypoxic encephalopathy and paroxysmal nocturnal hemoglobin Cerebral infarction caused by urine, let's learn together! A 43-year-old male patient with limb numbness caused by thalamic infarction
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Chief Complaint: Left limb and face numbness with weakness for 20 hours
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History of present illness: The patient developed numbness of the left face and limbs, immobility of movement, confusion of the head and blurred vision without obvious incentive 20 hours ago
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Head CT examination was performed in a foreign hospital, and no definite abnormality was found
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Admission to hospital for further treatment
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The disease was not accompanied by nausea and vomiting, no fever, no headache, no disturbance of consciousness, no drinking water choking and dysphagia
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The mental state is OK, the diet and sleep are OK, the stools are normal, and there is no significant change in weight recently
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Past history: history of hypertension, denial of coronary heart disease, history of diabetes
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▌ Physical examination: 1.
Clear mind, clear language, and cooperate in physical examination
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2.
The pupils on both sides are equal large and perfect circles, d=3.
0mm, the light response is sensitive, the eyeballs move fully in all directions, and there is no nystagmus
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3.
No facial and tongue paralysis, soft neck, left upper extremity muscle strength V, right upper extremity muscle strength V, left lower extremity muscle strength V, right lower extremity muscle strength V, Babinski sign (L: -, R: -)
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4.
The left side of the finger-nose test was not stable enough, the left side of the heel-knee-shin test was not stable enough, the left limb and face were hypoesthesia, and the deep sensation was normal
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