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脑萎缩的诊断和检查方法(Diagnosis and examination of brain atrophy)
脑萎缩的诊断和检查方法(Diagnosis and examination of brain atrophy)
Diagnosis of brain atrophy
1 symptoms: early diagnosis, manifested as headache, dizziness, memory decline, on time, location, orientation judgment decline or loss (such as home can not find a home) thinking was fragmented, events are ignored, but small is vexatious, reduced intelligence and spirit wilt, apathetic, unresponsive, lazy talk less dynamic, slow and indifferent to surrounding affairs. About personality change is selfish, subjective, paranoid, anxious, suspicious, irritable, incoherent. Patients with delirium or manic, even indecent action activities, standing instability, shaking hands, walking limp, cannot walk along a straight line, incontinence, sexual dysfunction or loss. And fantasy, photism, phonism, aphasia, and then become senile vascular dementia.
2, clinical examination diagnosis: Patients with cerebral atrophy, in addition to asking about medical history and observation of symptoms, can be found that all kinds of nerve reflex are varying degrees of dull or reduced. Superficial reflexes such as chest wall reflex, testosterone reflex, and anal reflex are slow and deep reflexes, such as two or three biceps reflex, ulnar membrane reflex, knee tendon reflex and Achilles tendon reflex, can sometimes be accompanied by pathological reflex. Cerebellar atrophy patients by clinical examination can be found and not foot standing, slow action, lower limb shaking, unable to walk along a straight line, a drunken gait, gait, stride wide, pathological reflex with primary syndrome (+), (+), finger nose test with the knee test (+), (+ circle test);
3 、 imaging diagnosis: CT and MR (nuclear magnetic resonance) imaging examination showed that the volume of brain tissue decreased and the ventricles enlarged. If the brain atrophy of the cerebral cortex and visible skull plate cerebral sulci widened the gap increases, deep, narrow flattened gyri, lateral ventricle and the three ventricle enlargement of lateral ve
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