신경과 MCA infarction ,status epilepticus, bacterial encephalitis

목차

1. INTRODUCTION
2. Risk factor
3. CLASSIFICATION
4. DISTINGUISHING STROKE SUBTYPES
5. Middle Cerebral Artery
6. MCA infarct 임상소견
7. Lt./Rt. Hemisphere infarction
8. Diagnosis
9. Acute stroke differential diagnosis
10. Treatment of stroke
11. Indication for Intravenous Thrombolysis in Ischemic Stroke

본문내용

CLASSIFICATION
- Pathogenesis
intracerebral hemorrhage
subarachnoid hemorrhage
brain ischemia due to thrombosis, embolism,
brain ischemia due to systemic hypoperfusion.
- Anatomical
ACA infarct
MCA infarct
PCA infarct
vertebro-basilar artery infarct
- Time course
Transient ischemic attack (TIA)
Reversible ischemic neurologic deficit
Progressing stroke
Completed stroke
Hyperacute stroke

<중 략>

MCA infarct 임상소견
- MCA stem : distal to its origin at the distal internal carotid and proximal to its bifurcation
- 기시부 obstruction & 말초 측부 순환 제한
Contralateral hemiplegia (face, arm, leg)
Contralateral hemianesthesia
Contralateral homonymous hemianopia
Deviation of the eyes toward the side to the lesion
Dysarthria
우성반구: Global aphasia
열성반구 침범 : anosognosia, constructional apraxia, neglect

참고 자료

http://proxy.lib.inha.ac.kr/f61fdfd/_Lib_Proxy_Url/www.uptodate.com/contents/clinical-diagnosis-of-stroke-subtypes?source=search_result&search=mca+infarct&selectedTitle=1%7E8
http://proxy.lib.inha.ac.kr/f61fdfd/_Lib_Proxy_Url/www.uptodate.com/contents/initial-assessment-and-management-of-acute-stroke?source=search_result&search=stroke+treatment&selectedTitle=1%7E150
Tintinalli, Emergency Medicine, 6th edition, p.1382~1390
Adams and victor`s principle of Neurology, 8th ,p.660~724