COVID-19蔓延期に搬送された両側視床内側梗塞の1例

DOI
  • 山﨑 舞子
    帝京大学医学部附属病院高度救命救急センター 帝京大学医学部救急医学講座
  • 三宅 康史
    帝京大学医学部附属病院高度救命救急センター 帝京大学医学部救急医学講座
  • 朝見 正宏
    帝京大学医学部附属病院高度救命救急センター 帝京大学医学部救急医学講座
  • 大貫 隆広
    帝京大学医学部附属病院高度救命救急センター 帝京大学医学部救急医学講座
  • 坂本 哲也
    帝京大学医学部附属病院高度救命救急センター 帝京大学医学部救急医学講座

書誌事項

タイトル別名
  • Bilateral medial thalamic infarction transported during COVID-19 postponement: a case report

この論文をさがす

抄録

<p>The diagnosis and treatment of stroke are often difficult, especially while taking measures to prevent coronavirus disease (COVID-19). Herein, we report a relatively rare case of acute cerebral infarction.</p><p>An 84-year-old man visited our hospital with a complaint of impaired consciousness. Physical examination revealed constricted pupils and loss of light reflexes, which suggested cerebral infarction. However, simple computed tomography (CT) of the head revealed normal findings. Since COVID-19 pneumonia was suspected on chest CT, vascular evaluation was performed via head CT angiography without magnetic resonance imaging (MRI) of the head; thrombolysis with intravenous recombinant tissue plasminogen activator was performed. On the second day of hospitalization, reverse transcription-polymerase chain reaction assay for COVID-19 was confirmed to be negative, and brain MRI findings led to the diagnosis of bilateral thalamic infarction. Postoperatively, the patient’s impaired consciousness was resolved, and he was transferred to a rehabilitation hospital on the 58th day of hospitalization because of residual dysphagia and gait disturbance. Bilateral thalamic infarction is a relatively rare type of stroke and should be considered in the differential diagnoses in patients with sudden-onset severe consciousness impairment.</p>

収録刊行物

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ