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58岁男性，伴有头痛、手部麻木和幻嗅。

58-year-old Male with a Headache, Hand Numbness, and Phantosmia.

作者信息

Felipe Naillid, Alblaihed Leen, Dezman Zachary D W, Bontempo Laura J

机构信息

University of Maryland Medical Center, Department of Emergency Medicine, Baltimore, Maryland.

University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland.

出版信息

Clin Pract Cases Emerg Med. 2022 May;6(2):112-116. doi: 10.5811/cpcem.2022.4.56508.

DOI:10.5811/cpcem.2022.4.56508
PMID:35701351
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9197741/
Abstract

INTRODUCTION

A 58-year-old male presents to the emergency department with headache, hand numbness, and phantosmia.

CASE PRESENTATION

Magnetic resonance imaging showed multiple acute and early subacute lesions involving the cortex and subcortical white matter of the left frontal lobe, left parietal lobe, left temporal lobe, left caudate, and left putamen.

DISCUSSION

This case takes the reader through the subtle findings that led to the diagnosis and ultimately to treatment.

摘要

引言

一名58岁男性因头痛、手部麻木和幻嗅就诊于急诊科。

病例介绍

磁共振成像显示多个急性和早期亚急性病变，累及左额叶、左顶叶、左颞叶、左尾状核和左壳核的皮质及皮质下白质。

讨论

本病例引导读者了解导致诊断并最终进行治疗的细微发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99ec/9197741/339596b5d38e/cpcem-6-112-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99ec/9197741/ba90afc85f59/cpcem-6-112-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99ec/9197741/339596b5d38e/cpcem-6-112-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99ec/9197741/ba90afc85f59/cpcem-6-112-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99ec/9197741/339596b5d38e/cpcem-6-112-g002.jpg

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A definition and classification of status epilepticus--Report of the ILAE Task Force on Classification of Status Epilepticus.癫痫持续状态的定义和分类——国际抗癫痫联盟癫痫持续状态分类特别工作组的报告。
Epilepsia. 2015 Oct;56(10):1515-23. doi: 10.1111/epi.13121. Epub 2015 Sep 4.
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