CLINICAL FEATURES, COMPUTER TOMOGRAPHY IN PATIENTS WITH EXTREME CEREBRAL INHALTY DUE TO MIDDLE CEREBRAL ARTERY OBSTRUCTION AT MILITARY HOSPITAL 103

Anh Đức Trần , Thành Bắc Nguyễn, Mạnh Linh Hoàng , Quang Hùng Ngô

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Abstract

Objectives: Describe clinical characteristics and computed tomography images in patients with large-scale cerebral infarction due to middle cerebral artery occlusion at Military Hospital 103. Subjects and methods: Clinical tissue research on 32 patients with large cerebral infarction due to middle cerebral artery occlusion at Military Hospital 103 from January 2017 to September 2022. Evaluate clinical features and images on computed tomography. Results: Clinical characteristics according to the NIHSS scale showed that the majority of patients were moderate and severe (NIHSS ≥ 16), accounting for 84.4%; Consciousness status within the range of 6-12 Glasgow points (96.9%); The main common clinical symptoms include hemiplegia (100%), difficulty speaking (90.6%), ipsilateral mydriasis (78.1%); Brain computed tomography images showed extensive infarction in the blood supply area of the middle cerebral artery with 0 - 3 points according to the ASPECTS scale (78.1%). Conclusion: Patients with large-scale cerebral infarction due to middle cerebral artery occlusion have main symptoms of hemiplegia, difficulty speaking, and dilated pupils on the same side with mainly moderate and severe clinical conditions; computed tomography images show a large infarct area.

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References

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