Patient Information
Basic Infomation
Male, 55 years
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Patient Information
|
Patient |
Male, 55 years |
|
Chief complaint |
Worsening right-sided weakness and slurred speech. |
|
History of Present Illness |
Patient with a history of hypertension, hyperlipidemia, type 2 diabetes mellitus, and hyperhomocysteinemia. Initial ischemic stroke on 03/24/2024, with MRI showing multiple acute infarcts in the left hemisphere. MRA demonstrated multivessel intracranial stenosis (right MCA M1–M2, left ACA A2–A3, severe deformity of left MCA M1, basilar artery tortuosity with mild stenosis). Treated with dual antiplatelet therapy and statin; discharged on 04/02/2024 with improvement. Over the past 3 days, the patient developed worsening right-sided weakness, now unable to lift or grasp with the right upper extremity, with recurrent slurred speech and slowed responsiveness. |
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Past Medical History |
Hypertension, Hyperlipidemia, Type 2 diabetes mellitus, Hyperhomocysteinemia Medications: Aspirin, clopidogrel, atorvastatin |
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Neurological Examination |
GCS: 15; NIHSS: 11 (Dysarthria: 2, Aphasia: 2, Facial palsy: 1, Right upper extremity: 4, Right lower extremity: 2); mRS (baseline); 3 Findings: Mixed aphasia, dysarthria, right facial droop, RUE strength 1/5, RLE 4−/5, right Babinski sign positive. |
Preoperative imaging findings
