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隐源性卒中
Cryptogenic Stroke


Jeffrey L. Saver ... 心脑血管疾病 • 2016.05.26
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杂志的这一部分首先引入一个病例摘要来强调一个常见的临床问题,然后提出有证据支持的各种策略。如果存在正式的指南,作者则对此进行综述。文章以作者的临床建议结尾。

 

一位48岁男性在健身房锻炼后突发共济失调、恶心、复视,随后出现左或右眼持续性左上象限视野缺失。他既往无颈部疼痛,有高血压和有先兆的偏头痛病史。磁共振成像(MRI)显示右侧枕颞和丘脑梗死。磁共振血管造影显示右侧大脑后动脉远段突然中断。全血细胞计数、凝血酶原时间、部分凝血活酶时间均正常。经胸超声心动图结果提示可能存在右向左分流。住院最初2天的心脏遥测显示无心律失常。如何进一步评估该病例?





作者信息

Jeffrey L. Saver, M.D.
From the Department of Neurology and Comprehensive Stroke Center, David Geffen School of Medicine at the University of California, Los Angeles (UCLA), Los Angeles. Address reprint requests to Dr. Saver at the UCLA Stroke Center, 710 Westwood Plaza, Los Angeles, CA 90095, or at jsaver@mednet.ucla.edu.

 

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