急性脑卒中 Acute stroke,脑出血 cerebral hemorrhage

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患者49岁,女性,美国黑人。具高血压和糖尿病病史,左腿间断性麻木和针刺感1天入院。血压240/130mmHg。无力弱,面部下垂及视觉改变;无上肢和右下肢感觉异常;无肠道和膀胱功能紊乱;无头痛,发热,呼吸短促,胸痛,恶心,呕吐,发汗,眩晕或头晕,无背痛,无癫痫史。对出血影像的全面讨论在这里

The patient is a 49-year-old African-American woman with a history of hypertension and diabetes mellitus who was seen after experiencing numbness and tingling of the left leg for about one day. Systemic arterial blood pressure was 240/130. There was no weakness, facial droop, visual change; no upper extremity or right lower extremity sensory abnormality; no bowel or bladder dysfunction; no headache, fever, shortness of breath, chest pain, nausea, vomiting, diaphoresis, vertigo or light-headedness, no back pain, and no history of seizures. A full discussion of imaging of hemorrhage can be found here.

为保护隐私,某些细节被删除。Some details have been altered to protect confidentiality.
Keith A. Johnson (keith@bwh.harvard.edu), J. Alex Becker (jabecker@mit.edu)

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