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病历摘要患者男,39岁,突然意识混浊,视物不清。间隔8个月出现右上下肢瘫、感觉障碍。发病两次均在3、4天恢复正常功能。既往高血压十余年,无其他疾病,其母34岁死于脑出血,其妹33岁患高血压2年。两次入院体检:血压170/110mmHg,血钙、血磷、碱性磷酸酶、肾功等常规生化检验正常。头颅平片正常,3次头部CT可见多发小灶性周边部脑梗塞,双侧大脑尾状核呈对称性倒八字形钙化。其胞弟(31岁)和妹头部CT及常规生化检查正常。临床诊断:高血压并多发性脑梗塞、特发性
Patient summary Male, 39 years old, suddenly unconsciousness, blurred vision. An interval of 8 months appeared right upper limb paralysis, sensory disturbance. The incidence of both three days to restore normal function. Previous hypertension more than ten years, no other diseases, the mother died of 34-year-old cerebral hemorrhage, her sister 33-year-old suffering from hypertension for 2 years. Two admission examination: blood pressure 170 / 110mmHg, blood calcium, phosphorus, alkaline phosphatase, renal function and other conventional biochemical tests normal. Normal skull film, 3 times the head CT showed multiple focal small peripheral infarction, bilateral cerebrum caudate nucleus was inverted inverted Acupoint calcification. His brother (31 years old) and sister head CT and normal biochemical tests were normal. Clinical diagnosis: hypertension and multiple cerebral infarction, idiopathic