{"title":"以血凝为临床表现的急性缺血性脑卒中。","authors":"Jing Zhu, Ming Kong, Yan Pan, Bingfa Li","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Hemichorea can be the first clinical manifestation of an ischemic stroke, especially in the acute phase of a stroke, but hemichorea is extremely rare as a clinical manifestation of acute ischemic stroke and is easy to misdiagnose. Extending the therapeutic time window of intravenous thrombolysis and endovascular thrombectomy increases the likelihood of a bad clinical outcome. Herein we report a rare case of acute ischemic stroke with hemichorea as a clinical manifestation. A magnetic resonance angiography showed mild luminal stenosis of the anterior and middle cerebral arteries bilaterally and severe stenosis of the M1 segment of the right middle cerebral artery. A negative brain diffusion-weighted imaging-magnetic resonance examination may be related to a transient hypoperfusion of the subthalamic nucleus caused by severe stenosis of the right middle cerebral artery. In summary, the sudden onset of lateral limb choreiform movements cannot exclude the possibility of an acute ischemic stroke.</p>","PeriodicalId":19098,"journal":{"name":"Neuro endocrinology letters","volume":"43 4","pages":"227-232"},"PeriodicalIF":0.6000,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Acute ischemic stroke with hemichorea as a clinical manifestation.\",\"authors\":\"Jing Zhu, Ming Kong, Yan Pan, Bingfa Li\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Hemichorea can be the first clinical manifestation of an ischemic stroke, especially in the acute phase of a stroke, but hemichorea is extremely rare as a clinical manifestation of acute ischemic stroke and is easy to misdiagnose. Extending the therapeutic time window of intravenous thrombolysis and endovascular thrombectomy increases the likelihood of a bad clinical outcome. Herein we report a rare case of acute ischemic stroke with hemichorea as a clinical manifestation. A magnetic resonance angiography showed mild luminal stenosis of the anterior and middle cerebral arteries bilaterally and severe stenosis of the M1 segment of the right middle cerebral artery. A negative brain diffusion-weighted imaging-magnetic resonance examination may be related to a transient hypoperfusion of the subthalamic nucleus caused by severe stenosis of the right middle cerebral artery. In summary, the sudden onset of lateral limb choreiform movements cannot exclude the possibility of an acute ischemic stroke.</p>\",\"PeriodicalId\":19098,\"journal\":{\"name\":\"Neuro endocrinology letters\",\"volume\":\"43 4\",\"pages\":\"227-232\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2022-11-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Neuro endocrinology letters\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"ENDOCRINOLOGY & METABOLISM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Neuro endocrinology letters","FirstCategoryId":"3","ListUrlMain":"","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
Acute ischemic stroke with hemichorea as a clinical manifestation.
Hemichorea can be the first clinical manifestation of an ischemic stroke, especially in the acute phase of a stroke, but hemichorea is extremely rare as a clinical manifestation of acute ischemic stroke and is easy to misdiagnose. Extending the therapeutic time window of intravenous thrombolysis and endovascular thrombectomy increases the likelihood of a bad clinical outcome. Herein we report a rare case of acute ischemic stroke with hemichorea as a clinical manifestation. A magnetic resonance angiography showed mild luminal stenosis of the anterior and middle cerebral arteries bilaterally and severe stenosis of the M1 segment of the right middle cerebral artery. A negative brain diffusion-weighted imaging-magnetic resonance examination may be related to a transient hypoperfusion of the subthalamic nucleus caused by severe stenosis of the right middle cerebral artery. In summary, the sudden onset of lateral limb choreiform movements cannot exclude the possibility of an acute ischemic stroke.
期刊介绍：
Neuroendocrinology Letters is an international, peer-reviewed interdisciplinary journal covering the fields of Neuroendocrinology, Neuroscience, Neurophysiology, Neuropsychopharmacology, Psychoneuroimmunology, Reproductive Medicine, Chronobiology, Human Ethology and related fields for RAPID publication of Original Papers, Review Articles, State-of-the-art, Clinical Reports and other contributions from all the fields covered by Neuroendocrinology
Letters.
Papers from both basic research (methodology, molecular and cellular biology, anatomy, histology, biology, embryology, teratology, normal and pathological physiology, biophysics, pharmacology, pathology and experimental pathology, biochemistry, neurochemistry, enzymology, chronobiology, receptor studies, endocrinology, immunology and neuroimmunology, animal physiology, animal breeding and ethology, human ethology, psychology and others) and from clinical research (neurology, psychiatry and child psychiatry, obstetrics and gynecology, pediatrics, endocrinology, immunology, cardiovascular studies, internal medicine, oncology and others) will be considered.
The Journal publishes Original papers and Review Articles. Brief reports, Special Communications, proved they are based on adequate experimental evidence, Clinical Studies, Case Reports, Commentaries, Discussions, Letters to the Editor (correspondence column), Book Reviews, Congress Reports and other categories of articles (philosophy, art, social issues, medical and health policies, biomedical history, etc.) will be taken under consideration.
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