It is a question of a 21-year-old patient of age, with precedents of Bronchial Asthma during the infancy, without another precedent of interest, that it(he,she) joins the service of cerebro-vascular since five (5) days before his(her,your) revenue, the patient begins to present pictures of frontal migraine with irradiation to the occiput, Ali since(as,like) there notice the relatives that to this there happened to him(her) a diversion of the labial left commissure, hemiparesia faciobraquiocrural to facial predominance accompanied of difficulty for the speech.

With this picture it is received in the Body of Dark brown Guard of the Provincial Hospital Clinical Surgically Saturnine at 1:45pm of September 13, 2005, is valued by the Service of Neurology and his(her,your) revenue is decided.

To the physical neurological examination he(she) is:

• Not Babinsky .
• Aphasia Motorboat.
• Abolished ROT .
• Inflexibility of Nape +.
• Alteration of the ocular movements.
• Diversion of the labial commissure to the left side.
• Decrease of the muscular force of the straight Hemicuerpo .

There is requested TAC of Cranium of urgency in C/G .

1 ra TAC of Cranium Not 6378.

---He(She) presents area hemorrágico frontoparietal left of 77 UH that it(he,she) measures 32 * 46mm

In the territory of the Cerebral Average Artery.

Hemorrágica Intraparenquimatosa is deposited to the patient by the diagnosis of a Cerebro-vascular Disease and an arterial Malformation or Arteriovenosa is discarded.

Already in room the patient begins to present important migraine, inflexibility nucal important that previously he(she) was not presenting, and takes of sensory, thinking about the possibility of the bled new one one proceeds to fulfil the second TAC of Cranium.

2 it(he,she) gives TAC of Cranium Not. 6478.

---Invasion of the blood is not observed to the Ventricular System, supports equal picture

Tomografico .

There carries out Angiocarotideo Derecho and Left-handed, who finds out Negative.

Cituria : P? Negative Cholesterol: 6.86 mmol/l Ionograma Na: 139mmol/l

L - 180* 10 6 Creatinina : 73 mmol/l K : 4.8mmol/l

H - 0 Glicemia : 4.9 mmol/l Coagulograma : normal

C - 0 ECG : normal

The images are annexed tomográficas of the case.

 

 

 

 

 

 

 

 

 

 

 

 

 

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