Diagnostic confusion resolved by being upbeat

被引：6

作者：

Kakar, Puneet ^{[1
]}

Kamdar, Ami ^{[1
]}

Prabhudev, Hemanth ^{[1
]}

Buddha, Sandeep ^{[1
]}

Kaski, Diego ^{[1
]}

Bentley, Paul ^{[1
]}

机构：

[1] Imperial Coll London, Imperial Coll Cerebrovasc Res Unit, Charing Cross Campus,Fulham Palace Rd, London W6 8RF, England

来源：

JRSM CARDIOVASCULAR DISEASE | 2012年 / 1卷 / 02期

关键词：

D O I：

10.1258/cvd.2012.012006

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The classical stroke presentation - captured by the public health campaign mnemonic FAST (face, arm, speech, time) - does not apply in a large number of stroke cases; yet establishing a prompt diagnosis is imperative for optimal management. Here, we describe a patient with acute bulbar weakness, numbness in all extremities and an apparently normal magnetic resonance imaging (MRI) of the brain upon admission for whom even the fundamental question of whether this reflected a central or peripheral nervous system process was unclear. The critical localizing sign was upbeat nystagmus that denotes a brainstem cause. MRI of the brain in the second week confirmed a diagnosis of medial medullary infarction.

引用

页数：6

共 24 条

[1] Medial medullary stroke: Report of seven patients and review of the literature [J].