Which of the following pairs of physical examination findings most likely corresponds to the head CT angiogram shown below?
A. Left facial droop(下垂) and right-sided hemiparesis (偏瘫)
B. Right facial droop and left-sided hemiparesis
C. Right facial droop and right-sided hemiparesis
D. Left facial droop and left-sided hemiparesis
答案解析:
大脑中动脉闭塞引起对侧轻偏瘫(手臂和面部比腿部差)、构音障碍、对侧同向偏盲、失语(如果优势半球受累)或失用症和感觉忽略(如果非优势半球受累)。血管造影显示双侧颈动脉钙化,截断超过右侧大脑中动脉M1节段。
正确答案:D
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