This case report describes the presentation,diagnosis,and management of a 48-year-old man with acute cerebral infarction of the left fronto-parietal-superior temporal lobe.The patient presented to the local hospital w...This case report describes the presentation,diagnosis,and management of a 48-year-old man with acute cerebral infarction of the left fronto-parietal-superior temporal lobe.The patient presented to the local hospital with sudden onset of right limb weakness associated with right-sided deviation of the mouth and tongue,and slurred speech.The diagnosis of middle cerebral artery occlusion was made according to clinical symptoms and signs and some diagnostic tests including non-contrast computed tomography.Thrombolytic therapy with alteplase was given at the local hospital.The patient presented to the emergency department in the First Affiliated Hospital,Zhejiang University School of Medicine 8 hours after symptom onset for cerebrovascular stenting as recommended by the local hospital.The magnetic resonance angiography was performed and the M1 segment of middle cerebral artery stenosis was made as diagnosis.After acute management the patient was transferred to the neurology department for further management.This case highlights the critical importance of timely diagnosis,severity assessment,thrombolytic therapy,and intervention in ischemic stroke.Insights gained from this case contribute to the evolving understanding of cerebrovascular events.展开更多
文摘This case report describes the presentation,diagnosis,and management of a 48-year-old man with acute cerebral infarction of the left fronto-parietal-superior temporal lobe.The patient presented to the local hospital with sudden onset of right limb weakness associated with right-sided deviation of the mouth and tongue,and slurred speech.The diagnosis of middle cerebral artery occlusion was made according to clinical symptoms and signs and some diagnostic tests including non-contrast computed tomography.Thrombolytic therapy with alteplase was given at the local hospital.The patient presented to the emergency department in the First Affiliated Hospital,Zhejiang University School of Medicine 8 hours after symptom onset for cerebrovascular stenting as recommended by the local hospital.The magnetic resonance angiography was performed and the M1 segment of middle cerebral artery stenosis was made as diagnosis.After acute management the patient was transferred to the neurology department for further management.This case highlights the critical importance of timely diagnosis,severity assessment,thrombolytic therapy,and intervention in ischemic stroke.Insights gained from this case contribute to the evolving understanding of cerebrovascular events.
