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Carotid Artery Dissection After Trivial Trauma in a 13-Year-Old Boy

机译:一名13岁男孩的琐碎创伤后的颈动脉夹层

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摘要

A 13-year-old boy presented to the emergency department after sudden onset of right-sided hemiparesis and slurred speech. The patient developed acute weakness on the right side of his body and face while walking back to his bed after using the restroom in the early morning hours. He had no pain, numbness, or visual disturbance. The day before presentation the patient fell while roller-skating but denied any injury resulting from the event. Examination showed a right-sided central facial paresis, right-sided pure motor hemiplegia, and a right Babinski sign. The patient had dysarthric speech but showed no aphasia. The remainder of the neurologic examination yielded normal results.
机译:一名右侧偏瘫患者突然发作,口齿不清后,一名13岁男孩出现在急诊室。在清晨使用洗手间后,患者在走回床边时,身体和面部右侧出现了急性无力。他没有疼痛,麻木或视觉障碍。出诊的前一天,患者在滑旱冰时摔倒,但否认事件造成的任何伤害。检查显示右侧中央面部轻瘫,右侧纯运动偏瘫和右侧Babinski征象。病人说话异常,但无失语症。其余的神经系统检查结果正常。

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