脳梗塞１５

【臨床症状】スクリーニング

【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
    ※ MRA元画は非提示
    • 右前頭葉に陳旧性の梗塞巣あり
    • 支配血管はMCA（中大脳動脈）領域
    • それに対応するかのように、MRAでは右MCAの狭窄が疑われる
    • DWIでは低信号、ADCは高信号、FLAIRでは低信号のため、慢性期以降（1か月以前）と考える事ができる
    • 他、左VA（椎骨動脈）の低形成疑いと、内包後脚にワーラー変性あり