PT -期刊文章盟梅丽莎Ng盟艾迪娜睿智盟约翰-卡洛琳Brockington盟梁TI -一个案例展示待定的多角度栓塞性中风作用源(1079)DP - 2020年4月14日TA -神经病学PG - 1079 VI - 94 IP - 15补充4099 - //www.ez-admanager.com/content/94/15_Supplement/1079.short 4100 - //www.ez-admanager.com/content/94/15_Supple首页ment/1079.full所以Neurology2020 4月14日;94 AB -目的:目前对于一个79岁的女人急性缺血性中风发现主动脉弓动脉粥样化,并讨论技术的作用超声心动图的诊断评价栓塞性中风待定源(、因)。背景:诊断评估,以确定急性缺血性中风的病因是至关重要的减少复发的风险。仍然是不幸的是,、因缺血性中风的很大一部分,及其优化管理仍不确定。目前,多角度不需要分类、因中风。设计/方法:案例reportResults:一个79岁的右撇子的女人,过去病史的高血压和高脂血症出现急性右侧的弱点,对面部下垂,失语症。她发现M1的闭塞的左大脑中动脉。她收到了静脉溶栓和经历了一个成功的机械血栓切除术具有良好的神经恢复。经胸廓的超声心动图表现为中风的一部分检查显示严重扩张左心房。我们建议循环记录器植入为阵发性心房纤颤的神秘评估。为左心耳血栓进一步调查,我们决定进行多角度,事实上证明复杂的动脉粥样硬化斑块与高度移动在远端主动脉弓动脉粥样化。 She was started on dual antiplatelet and high-dose statin therapy.Conclusions: This case demonstrates the utility of transesophageal echocardiography to evaluate for cardioembolic sources in patients with acute ischemic stroke as the findings may have management implications. Multiple potential sources of thromboembolism may co-exist and it is important to consider further investigations even after one explanatory abnormality is discovered.Disclosure: Dr. Ng has nothing to disclose. Dr. Wise has nothing to disclose. Dr. Brockington has nothing to disclose. Dr. Liang has nothing to disclose.