10秒中风：一例病例报告。
The 10-second stroke: a case report.
作者信息
Siket Matthew S, Silver Brian
机构信息
Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, Rhode Island.
Department of Neurology, Alpert Medical School of Brown University, Providence, Rhode Island.
出版信息
J Stroke Cerebrovasc Dis. 2015 Jun;24(6):e133-4. doi: 10.1016/j.jstrokecerebrovasdis.2015.01.024. Epub 2015 Apr 25.
BACKGROUND
Acute infarction is detected in a third of patients undergoing diffusion-weighted magnetic resonance imaging (DW-MRI) with clinically suspected transient ischemic attack. The longer symptoms are present, the more likely an infarct will be identified on DW-MRI. Events as short as 10 minutes have been reported in association with a DW-MRI lesion.
METHODS
We present a case of an otherwise healthy man with a 10-second episode of neurologic dysfunction associated with DW-MRI lesions from a cardioembolic source.
RESULTS
The atypical symptoms and lack of risk factors for cerebrovascular disease made his diagnosis easy to miss.
CONCLUSIONS
Early DW-MRI may be of benefit beyond clinical judgment in patients with fleeting symptoms of neurologic dysfunction.
背景
在临床怀疑短暂性脑缺血发作而行弥散加权磁共振成像（DW-MRI）检查的患者中，三分之一被检测出急性梗死。症状持续时间越长，在DW-MRI上发现梗死灶的可能性就越大。有报道称，短至10分钟的发作就与DW-MRI病变相关。
方法
我们报告一例原本健康的男性，其出现了10秒的神经功能障碍发作，伴有心源性栓塞源所致的DW-MRI病变。
结果
非典型症状以及缺乏脑血管疾病危险因素使得他的诊断容易被漏诊。
结论
对于有短暂性神经功能障碍症状的患者，早期DW-MRI可能比临床判断更具优势。
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