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Case articles have always been a popular form.
Compared with textbook->
.
By allowing readers to follow the author's ideas, a little bit of threading, while acquiring knowledge of diagnosis and treatment, it can also exercise everyone's clinical thinking
.
In 2021, what classic cases will the neurology department publish? The editor has selected the wonderful cases of each month according to the time, let's take a look at the annual list of such articles! Compiled and organized by Yimaitong, please do not reprint without authorization
.
Bilateral cerebral angle infarction in January - such an MRI, you will never forget it after seeing it once! Bilateral cerebral peduncle infarction is a rare neurological disorder, and infarcts at this site have been previously reported to be associated with locked-in syndrome and impaired consciousness, although this is often associated with infarcts in the pons, cerebellum, and other areas supplied by the posterior cerebral arteries.
Isolated bilateral cerebral peduncle infarcts are particularly rare
.
This article introduces a case of isolated bilateral cerebral peduncle infarction.
Through the typical imaging manifestations of the patient, as well as the symptoms of pseudobulbar palsy and mild quadriplegia, let's learn the clinical reasoning process of this case
.
>>>Click here to view the case Other wonderful cases: ➤The 48-year-old man had sudden diplopia for 4 days.
The reason behind it is not simple.
The chin was numb in February? This disease must be investigated! Have you fully grasped the innervation area of the trigeminal nerve? Chin Numbness Syndrome (Chin Numbness Syndrome, NCS) Do you know? How to diagnose and differentially diagnose chin numbness syndrome in pregnant women? Let’s study the clinical reasoning process of this case together
.
>>>Click here to view the case Other wonderful cases: ➤2 cases, a comprehensive analysis of the dorsolateral medullary syndrome, no longer afraid of forgetting it! Is circulatory stroke easy to be missed in March? This case helps you clarify your thoughts.
Because of the confusing clinical symptoms, posterior circulation stroke has always been a disease that the neurological emergency department cannot prevent
.
Posterior circulation stroke is more difficult to identify than other types of stroke and can have devastating consequences if misdiagnosed or delayed
.
This article uses a case as a reference to explain some problems in the diagnosis of posterior circulation stroke, in order to help clinicians
.
>>>Click here to view the case Other wonderful cases: ➤Typical case: acute midbrain tectal syndrome ➤Can you diagnose correctly when you encounter this patient with shortness of breath and difficulty walking? Restlessness or immobility in April was all caused by "nerves"? Two severely agitated patients, one near-death and motionless, both recovered and were discharged from the hospital
.
Is the patient's restlessness or inability to move due to "nerves"? Let's find out
.
>>>Click here to view the case Other wonderful cases: ➤ Numbness of arms and legs? What happened to this young man.
.
.
➤ He did yoga and had a carotid artery dissection.
.
.
➤ Eye disease caused by carotid artery dissection: Rare but urgent acute cerebral infarction occurred in a patient in May, the reason was it? The function of the thalamus is important and complex
.
The thalamus is mainly supplied by the thalamonodular artery, the paramedian artery, the thalamogenic artery and the retrochoroidal artery, and there are many clinical variations
.
Artery of Percheron (AOP) is a rare variant.
It refers to the bilateral thalamic perforating arteries originating from the P1 segment of the unilateral posterior cerebral artery and supplying blood to the paramedian thalamus.
The occlusion of this artery can cause bilateral paramedian thalamic arteries.
Regional infarction, and some patients may involve the midbrain
.
Due to the diverse clinical manifestations of AOP infarction, the lack of typical clinical symptoms and signs, and the negative results of brain CT examinations, early clinical diagnosis is relatively difficult
.
This article reports a case of cerebral infarction caused by Percheron artery occlusion with disturbance of consciousness as the first symptom.
Let's learn together
.
>>>Click here to view the case Other wonderful cases: ➤71-year-old male horizontal gaze paralysis, loss of speech ability, quadriplegia, this disease should be thought of ➤ If you encounter this patient with polycranial neuropathy, will you diagnose and treat it? ➤How to diagnose and treat a 47-year-old man with multiple cranial nerve palsy and dural enhancement? How important is it to grasp the location of stroke symptoms in June? Looking at this case, we know that thrombolytic therapy for ischemic stroke patients is often imminent, and CT examination is often used to rule out acute intracranial hemorrhage, which is less helpful for lesion localization
.
At this time, it is particularly important to locate the lesion through symptoms.
If the localization is not performed, other diseases with clinical manifestations similar to stroke may be misdiagnosed as stroke.
At this time, if thrombolysis is performed hastily, the consequences will be disastrous
.
This article will explain the key points of stroke symptom localization through a case to help you quickly grasp the stroke symptom localization
.
>>>Click here to view the case Other wonderful cases: ➤The reason behind the occurrence of "butterfly bone" in a 40-year-old woman.
.
.
➤The patient has itchy skin and cramps, this disease cannot be ignored! The patient suffered sudden dysphagia and low back pain in July.
Is it the real culprit behind the scenes? The great detective Sherlock Holmes once said, "Everything in the world is like a chain.
We only need to see one link to know the nature of the whole
.
" Careful observation, calm judgment, and accurate analysis do not only exist in novels.
More in reality, especially in the process of doctors diagnosing diseases
.
How to see the leopard from the spot and know the book from the minute, grasp the ever-changing combination of clinical manifestations one after another, and run them through so that they can logically restore the whole process of the crime, which is what we have been pursuing.
Target
.
This article describes an elderly man who was admitted to the hospital with sudden dysphagia, choking on eating with clumsiness, and worsening low back pain
.
Behind the seemingly ordinary "stroke", there is actually a turbulent murderous intention
.
What is the reason, let us find out
.
>>>Click here to view the case Other wonderful cases: ➤The patient suddenly developed weakness in both lower extremities, this disease must be thought of! ➤ Subacute bilateral vision loss in a 79-year-old woman due to.
.
.
➤ A 28-year-old woman, why did she have decreased vision and abnormal gait? In August, the patient had persistent headache and fever.
Did you answer this seemingly simple question correctly? Seeing a doctor is like doing a math problem.
The clinician first infers the approximate problem-solving direction based on the patient's clinical manifestations and physical examination, and then confirms the previous inference through auxiliary examination and diagnosis and treatment
.
Some questions are simple, and you may know the answer at a glance; some are intricate and require the use of pathological and genetic examination methods
;
Next, let us unravel this seemingly simple proposition
.
>>>Click here to view the case Other wonderful cases: ➤The patient has a sudden change in consciousness and mental symptoms: is it a simple mental illness, or is there another hidden reason? ➤ The patient has a sudden headache with cognitive decline, what disease can you think of? ➤New-onset headache, pulsatile tinnitus, and visual disturbance in a 65-year-old female, why? The patient had a sudden headache in September, what was causing the trouble? This article tells the story of a young woman with a headache, who was addicted to staying up late and playing with her mobile phone for many years, and then had an exploding headache.
Is this the fault of the mobile phone? Let's find out
.
>>>Click here to view the case.
How many times have you stepped on the "thunder" of the neurology department in October? Some people compare the hospital to a battlefield without gunpowder smoke.
In this battlefield, fighting against diseases will inevitably encounter "minefields"
.
How to skillfully "avoid lightning" is a compulsory course for every soldier
.
This article describes an elderly woman who suffered from weakness, soreness, and numbness in her lower limbs.
Diabetes was diagnosed after admission.
This seemingly simple case also has a "minefield" lurking
.
What's going on here, let's find out
.
>>>Click here to view the case A 45-year-old male developed vertical diplopia in November.
What is the reason? How to diagnose and differentially diagnose patients with binocular vertical diplopia? How to distinguish trochlear palsy from ocular deviation? This article reports a male patient with acute vertical diplopia.
Let's learn the clinical reasoning process of this case
.
>>>Click here to view the case Other wonderful cases: ➤You thought you would see a headache? Headache consultation process, and "cheats"! ➤How to diagnose and treat a 56-year-old male with subacute encephalopathy and epilepsy? ➤Progressive proximal muscle weakness in a 61-year-old man, why? A 57-year-old man developed progressive paraparesis and sensory loss in December.
What was the cause? What is the differential diagnosis of long segment myelitis? This article reports a case of a male patient with progressive paraparesis, sensory loss, urinary retention, and constipation.
Spinal MRI showed long-segment myelitis.
Let's learn the clinical reasoning process of this case
.
>>>Click here to view the case Other wonderful cases: ➤Spontaneous intracranial hypotension with frontotemporal dementia - such a case will never be forgotten after seeing it once! ➤Concentric sclerosis - this case is sure to give you a lot! ➤What is the reason for frequent chest tightness and shortness of breath in patients with cerebral infarction? Year-end Inventory☟☟☟ Unmissable Guidelines and Consensus for Neurology in 2021
Compared with textbook->
.
By allowing readers to follow the author's ideas, a little bit of threading, while acquiring knowledge of diagnosis and treatment, it can also exercise everyone's clinical thinking
.
In 2021, what classic cases will the neurology department publish? The editor has selected the wonderful cases of each month according to the time, let's take a look at the annual list of such articles! Compiled and organized by Yimaitong, please do not reprint without authorization
.
Bilateral cerebral angle infarction in January - such an MRI, you will never forget it after seeing it once! Bilateral cerebral peduncle infarction is a rare neurological disorder, and infarcts at this site have been previously reported to be associated with locked-in syndrome and impaired consciousness, although this is often associated with infarcts in the pons, cerebellum, and other areas supplied by the posterior cerebral arteries.
Isolated bilateral cerebral peduncle infarcts are particularly rare
.
This article introduces a case of isolated bilateral cerebral peduncle infarction.
Through the typical imaging manifestations of the patient, as well as the symptoms of pseudobulbar palsy and mild quadriplegia, let's learn the clinical reasoning process of this case
.
>>>Click here to view the case Other wonderful cases: ➤The 48-year-old man had sudden diplopia for 4 days.
The reason behind it is not simple.
The chin was numb in February? This disease must be investigated! Have you fully grasped the innervation area of the trigeminal nerve? Chin Numbness Syndrome (Chin Numbness Syndrome, NCS) Do you know? How to diagnose and differentially diagnose chin numbness syndrome in pregnant women? Let’s study the clinical reasoning process of this case together
.
>>>Click here to view the case Other wonderful cases: ➤2 cases, a comprehensive analysis of the dorsolateral medullary syndrome, no longer afraid of forgetting it! Is circulatory stroke easy to be missed in March? This case helps you clarify your thoughts.
Because of the confusing clinical symptoms, posterior circulation stroke has always been a disease that the neurological emergency department cannot prevent
.
Posterior circulation stroke is more difficult to identify than other types of stroke and can have devastating consequences if misdiagnosed or delayed
.
This article uses a case as a reference to explain some problems in the diagnosis of posterior circulation stroke, in order to help clinicians
.
>>>Click here to view the case Other wonderful cases: ➤Typical case: acute midbrain tectal syndrome ➤Can you diagnose correctly when you encounter this patient with shortness of breath and difficulty walking? Restlessness or immobility in April was all caused by "nerves"? Two severely agitated patients, one near-death and motionless, both recovered and were discharged from the hospital
.
Is the patient's restlessness or inability to move due to "nerves"? Let's find out
.
>>>Click here to view the case Other wonderful cases: ➤ Numbness of arms and legs? What happened to this young man.
.
.
➤ He did yoga and had a carotid artery dissection.
.
.
➤ Eye disease caused by carotid artery dissection: Rare but urgent acute cerebral infarction occurred in a patient in May, the reason was it? The function of the thalamus is important and complex
.
The thalamus is mainly supplied by the thalamonodular artery, the paramedian artery, the thalamogenic artery and the retrochoroidal artery, and there are many clinical variations
.
Artery of Percheron (AOP) is a rare variant.
It refers to the bilateral thalamic perforating arteries originating from the P1 segment of the unilateral posterior cerebral artery and supplying blood to the paramedian thalamus.
The occlusion of this artery can cause bilateral paramedian thalamic arteries.
Regional infarction, and some patients may involve the midbrain
.
Due to the diverse clinical manifestations of AOP infarction, the lack of typical clinical symptoms and signs, and the negative results of brain CT examinations, early clinical diagnosis is relatively difficult
.
This article reports a case of cerebral infarction caused by Percheron artery occlusion with disturbance of consciousness as the first symptom.
Let's learn together
.
>>>Click here to view the case Other wonderful cases: ➤71-year-old male horizontal gaze paralysis, loss of speech ability, quadriplegia, this disease should be thought of ➤ If you encounter this patient with polycranial neuropathy, will you diagnose and treat it? ➤How to diagnose and treat a 47-year-old man with multiple cranial nerve palsy and dural enhancement? How important is it to grasp the location of stroke symptoms in June? Looking at this case, we know that thrombolytic therapy for ischemic stroke patients is often imminent, and CT examination is often used to rule out acute intracranial hemorrhage, which is less helpful for lesion localization
.
At this time, it is particularly important to locate the lesion through symptoms.
If the localization is not performed, other diseases with clinical manifestations similar to stroke may be misdiagnosed as stroke.
At this time, if thrombolysis is performed hastily, the consequences will be disastrous
.
This article will explain the key points of stroke symptom localization through a case to help you quickly grasp the stroke symptom localization
.
>>>Click here to view the case Other wonderful cases: ➤The reason behind the occurrence of "butterfly bone" in a 40-year-old woman.
.
.
➤The patient has itchy skin and cramps, this disease cannot be ignored! The patient suffered sudden dysphagia and low back pain in July.
Is it the real culprit behind the scenes? The great detective Sherlock Holmes once said, "Everything in the world is like a chain.
We only need to see one link to know the nature of the whole
.
" Careful observation, calm judgment, and accurate analysis do not only exist in novels.
More in reality, especially in the process of doctors diagnosing diseases
.
How to see the leopard from the spot and know the book from the minute, grasp the ever-changing combination of clinical manifestations one after another, and run them through so that they can logically restore the whole process of the crime, which is what we have been pursuing.
Target
.
This article describes an elderly man who was admitted to the hospital with sudden dysphagia, choking on eating with clumsiness, and worsening low back pain
.
Behind the seemingly ordinary "stroke", there is actually a turbulent murderous intention
.
What is the reason, let us find out
.
>>>Click here to view the case Other wonderful cases: ➤The patient suddenly developed weakness in both lower extremities, this disease must be thought of! ➤ Subacute bilateral vision loss in a 79-year-old woman due to.
.
.
➤ A 28-year-old woman, why did she have decreased vision and abnormal gait? In August, the patient had persistent headache and fever.
Did you answer this seemingly simple question correctly? Seeing a doctor is like doing a math problem.
The clinician first infers the approximate problem-solving direction based on the patient's clinical manifestations and physical examination, and then confirms the previous inference through auxiliary examination and diagnosis and treatment
.
Some questions are simple, and you may know the answer at a glance; some are intricate and require the use of pathological and genetic examination methods
;
Next, let us unravel this seemingly simple proposition
.
>>>Click here to view the case Other wonderful cases: ➤The patient has a sudden change in consciousness and mental symptoms: is it a simple mental illness, or is there another hidden reason? ➤ The patient has a sudden headache with cognitive decline, what disease can you think of? ➤New-onset headache, pulsatile tinnitus, and visual disturbance in a 65-year-old female, why? The patient had a sudden headache in September, what was causing the trouble? This article tells the story of a young woman with a headache, who was addicted to staying up late and playing with her mobile phone for many years, and then had an exploding headache.
Is this the fault of the mobile phone? Let's find out
.
>>>Click here to view the case.
How many times have you stepped on the "thunder" of the neurology department in October? Some people compare the hospital to a battlefield without gunpowder smoke.
In this battlefield, fighting against diseases will inevitably encounter "minefields"
.
How to skillfully "avoid lightning" is a compulsory course for every soldier
.
This article describes an elderly woman who suffered from weakness, soreness, and numbness in her lower limbs.
Diabetes was diagnosed after admission.
This seemingly simple case also has a "minefield" lurking
.
What's going on here, let's find out
.
>>>Click here to view the case A 45-year-old male developed vertical diplopia in November.
What is the reason? How to diagnose and differentially diagnose patients with binocular vertical diplopia? How to distinguish trochlear palsy from ocular deviation? This article reports a male patient with acute vertical diplopia.
Let's learn the clinical reasoning process of this case
.
>>>Click here to view the case Other wonderful cases: ➤You thought you would see a headache? Headache consultation process, and "cheats"! ➤How to diagnose and treat a 56-year-old male with subacute encephalopathy and epilepsy? ➤Progressive proximal muscle weakness in a 61-year-old man, why? A 57-year-old man developed progressive paraparesis and sensory loss in December.
What was the cause? What is the differential diagnosis of long segment myelitis? This article reports a case of a male patient with progressive paraparesis, sensory loss, urinary retention, and constipation.
Spinal MRI showed long-segment myelitis.
Let's learn the clinical reasoning process of this case
.
>>>Click here to view the case Other wonderful cases: ➤Spontaneous intracranial hypotension with frontotemporal dementia - such a case will never be forgotten after seeing it once! ➤Concentric sclerosis - this case is sure to give you a lot! ➤What is the reason for frequent chest tightness and shortness of breath in patients with cerebral infarction? Year-end Inventory☟☟☟ Unmissable Guidelines and Consensus for Neurology in 2021
