抽脂手术后共济失调性痴呆症的延迟恢复。

IF 0.6 4区医学 Q4 CLINICAL NEUROLOGY

Neurocase Pub Date : 2023-12-01 Epub Date: 2024-05-04 DOI:10.1080/13554794.2024.2346982

Ana Clara de Oliveira, Marcos Benchimol, Ilana Benchimol, Leila Chimelli, Ricardo de Oliveira-Souza

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引用次数: 0

摘要

一名 19 岁的学生在美容抽脂手术结束后出现通气不足和紫绀。她已经清醒，但由于严重的运动性共济失调，导致严重昏迷、迷失方向、无法站立和行走。神经心理学评估显示，她精神运动迟缓，在记忆编码和检索、执行力、视觉空间和视觉感知测试方面存在缺陷；口语理解和构思练习则没有问题。¹H-MRS显示NAA减少。一年后，她的认知和神经系统检查以及 NAA 恢复正常，并恢复了正常生活。缺氧性脑病急性期表现的严重程度并不总是意味着预后不良。

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Delayed recovery from ataxic dementia following liposuction.

A 19-year-old student developed hypoventilation and cyanosis at the end of a cosmetic liposuction procedure. She was awake, but severely abulic, disoriented, and unable to stand and walk due to severe locomotor ataxia. Neuropsychological evaluation showed psychomotor slowness, and deficits in memory encoding and retrieval, and on executive, and visuospatial and visuoperceptual tests; oral comprehension and constructional praxis were spared. ¹H-MRS showed a reduction of NAA. A year later, her cognitive and neurological exam, and NAA returned to normal, and she resumed her normal life. The severity of the acute manifestations of hypoxic encephalopathy not always entail a poor prognosis.

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来源期刊

Neurocase 医学-精神病学

CiteScore

1.40

自引率

12.50%

发文量

审稿时长

6-12 weeks

期刊介绍： Neurocase is a rapid response journal of case studies and innovative group studies in neuropsychology, neuropsychiatry and behavioral neurology that speak to the neural basis of cognition. Four types of manuscript are considered for publication: single case investigations that bear directly on issues of relevance to theoretical issues or brain-behavior relationships; group studies of subjects with brain dysfunction that address issues relevant to the understanding of human cognition; reviews of important topics in the domains of neuropsychology, neuropsychiatry and behavioral neurology; and brief reports (up to 2500 words) that replicate previous reports dealing with issues of considerable significance. Of particular interest are investigations that include precise anatomical localization of lesions or neural activity via imaging or other techniques, as well as studies of patients with neurodegenerative diseases, since these diseases are becoming more common as our population ages. Topic reviews are included in most issues.