脳梗塞５

【臨床症状】めまい、滑舌不良

【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
    • 右基底核（内包前脚にも？）新鮮なラクナ梗塞巣あり
    • 右基底核の支配血管はMCAから分枝する穿通枝（外側線条体動脈/レンズ核線条体動脈）
    • DWIで高信号、ADCで低信号、FLAIRで高信号より、急性期の脳梗塞と診断できる
    • 他、MRAにて右MCA領域に狭窄などの所見はなし