脳梗塞１８

【臨床症状】右手が動かしにくい

【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
    • 左前頭側頭葉（中心前回、中前頭回）に複数のラクナ梗塞あり
    • 支配血管はMCA（中大脳動脈）領域
    • DWIで高信号、ADCで低信号、FLAIRで高信号を認め急性期（発症1～7日）の病変と考えられる
    • 他、斑状の虚血巣が基底核や大脳白質に散在