脳梗塞１３

【臨床症状】右半身の痺れ

【問題】どこに脳梗塞がある？　また、支配血管、発症時期、病型（分類）について記載せよ

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    ▶答えはこちら
    • 左視床にラクナ梗塞あり
    • 支配血管はPCA（後大脳動脈）の穿通枝
    • DWIで軽度高信号、ADCでやや低信号、FLAIRで高信号を認め、各々の信号強度から亜急性期（発症1～3週間）が最も考えられる（※実際には発症から19日でMRIが撮影された）
    • 他、動脈壁の不整あり、動脈硬化の状態だと考えられる