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Форум лікарів • Потрібна рекомендація невропатолога
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Потрібна рекомендація невропатолога

Додано: 01 березня 2015, 20:46
Тетяна Федосенко
Моєму дідові 69 років, вечором він заснув на ліжку в альтанці і прохолов, з кожним днем ​​став помічати що у нього якось перекосило ліву половину обличчя, а потім у нього взагалі почалися проблеми з мімікою в лівій половині обличчя, сльозотеча.
Звернувся до лікаря. Поставили діагноз: неврит лицьового нерва. Він пройшов курс лікування і йому вже полегшало, але сльозотеча з лівого ока все ще не припиняється.
І почалися проблеми з серцем. Стало іноді різко підвищуватися артеріальний тиск, відчуває слабкість в лівій половині тіла і особливо в лівій руці.
А нещодавно з'явилися проблеми з ковтанням твердої їжі: вона буквально не проходила через горло, він поперхався і потім був блювотний рефлекс. Тепер може вживати їжу тільки в рідкому стані. Причини такого погіршення стану незрозумілі. Потрібна рекомендація невропатолога.

Re: Потрібна рекомендація невропатолога

Додано: 01 березня 2015, 20:51
Був розумним студентом
Проведення МРТ головного мозку (нейровізуалізація - захворювання мостомозочкового кута або лакунарний інфаркт стовбура). Далі, в залежності від патології. Крім того, виявлення супутньої патології - монітор АТ, ЕКГ, коагулограма, цукор крові.

Re: Потрібна рекомендація невропатолога

Додано: 01 березня 2015, 20:57
Мартинюк
Так, дуже схоже на прояви об'ємного захворювання головного мозку (в проекції задньочерепноъ ямки...), враховуючи прогресуючий перебіг. Отже для успішного лікування необхідна додаткова діагностика - МРТ головного мозку.
В око, яке сльозитися (воно явно не повністю закривається - лагофтальм), потрібно закапувати Офтагель або Корнерегель, і частіше закривати очі (допомагати рукою).

Re: Потрібна рекомендація невропатолога

Додано: 01 березня 2015, 20:59
Ілля Пігович
Необхідна МРТ, слабкість в лівій половині тіла і руці це парез, а порушення ковтання - ураження стовбура головного мозку. Швидше обстежте дідуся, від цього залежить результат лікування.