From the Department of Diagnostic Radiology and Nuclear Medicine, Rush University Medical Center, 1653 W Congress Pkwy, Chicago, IL 60612.
Radiology. 2023 May;307(3):e221929. doi: 10.1148/radiol.221929.
A 45-year-old woman presented to the emergency department of an outside hospital with shortness of breath and cough. Five days after initial presentation, the patient presented again to the same emergency department with worsening headache and progressive left arm and left leg weakness. She was transferred to the neuroscience intensive care unit of our hospital with concern for an intracranial abnormality based on her work-up at the outside hospital. Her past medical history was notable only for a large uterine fibroid. In our hospital, CT of the brain and chest and MRI of the brain, including perfusion studies, were performed. Additionally, CT venography of the brain was performed.
一位 45 岁女性因呼吸急促和咳嗽到外院急诊就诊。初次就诊 5 天后,患者因头痛加重和进行性左上肢和左下肢无力再次到同一急诊就诊。基于外院的检查结果,考虑颅内异常,患者被转入我院神经科重症监护病房。她的既往病史仅为巨大子宫肌瘤。在我院,对患者进行了脑部和胸部 CT 以及包括灌注研究的脑部 MRI,还进行了脑部 CT 静脉造影。