Amin Osama S M, Zangana Hero M, Ameen Nawa A
Department of Neurology, Sulaimaniya General Teaching Hospital, Sulaimaniya, Iraq.
BMJ Case Rep. 2010 Sep 7;2010:bcr0220102703. doi: 10.1136/bcr.02.2010.2703.
Ischaemic stroke syndromes in the vascular territory of middle cerebral artery may have atypical presentation and radiographic findings because of the variable anatomy of that artery. Therefore, misdiagnosis of these syndromes as neoplastic or infectious processes is not uncommon. This case describes a 69-year-old comatose woman who was referred to us as having 'a brain tumour with massive surrounding oedema.' Further work-up revealed that she had a large left-sided lenticular nuclear infarction with some extension into the surrounding areas-the striatocapsular infarction.
大脑中动脉血管区域的缺血性中风综合征可能有非典型表现和影像学特征，因为该动脉解剖结构多变。因此，将这些综合征误诊为肿瘤或感染性疾病并不少见。本病例描述了一名69岁昏迷女性，她被转诊至我院，诊断为“伴有大量周围水肿的脑肿瘤”。进一步检查发现她有大面积左侧豆状核梗死，并向周围区域有一定程度的扩展——即纹状囊梗死。
