[e-mail]

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• dainotakumi_at_gmail.com

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????????(???)

• ????????????????????(CPSS)
• ??????????????????
• ?????????59 ???89
• ?????????????????????(LAPSS)
• ?????????????????????????????????
• ??93 ???97

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• ????
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• ABCDE?????

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????

• A??
• B????????????????
• C????????????????????????
• Ddysfunction of CNS??????????????CT??
• E?????

?????????????????CT??????????????! ??CT????????25?
??????????!
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  ???????????

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CT?????MRI??????

• ????????CT????MRI??????
• ??????????!
• ??????????????????(????TPA??????????????????????)
  
• 3??(????)??6??(????)
• ???????????

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CT??????

• ????
• ????????????????????
• ??????????????????????(???????????)
• ????
• ??????????????
• ???????????(???????NIHSS??)
• ?????????????????(??????)?????????????????????????
  ???????????????????

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acute stroke

• hemorrhagic stroke
• intracranial hemorrhage
• subarachnoid hemorrhage
• ischemic stroke

SAH????????????? ????????CT??????????????
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Acute stroke differential diagnosis

• Migraine
• Intracerebral hemorrhage
• Head trauma
• Brain tumor
• Todd's palsy (paresis, aphasia, neglect, etc.
  after a seizure episode)
• Functional deficit (conversion reaction)
• Systemic infection
• Toxic-metabolic disturbances (hypoglycemia, acute
  renal failure, hepatic insufficiency, exogenous
  drug intoxication)

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???????

• AIUEO TIPS??????????????
• ?????????????????????????????
• ?????????? or ????????????????

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?????gt160mmHg?????????????????
?CT????CT-TIPS????

• CCVD(??????????????????)
• TTrauma(?????????????)
• TTumor(???)
• IInfection(?????????)
• PPsychiatric(????????????)
• SSeizure(????????)
• ?3??CT?????Negative??????(I)?????????????(PS)

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?????lt120mmHg??????????????????????????????CT????
?????????????????????? ??????????MD-HINT????

• MMetabolic(?????????????????(?????)??(?)??)
• DDrug(?????????????)
• HHypoxia(??????????)
• IInfection(??????????????????)
• NNutrition(??B1/6/12???)
• TTemperature(???)
• ????????????????Fever work-up(Xp?????)???????

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Clinical pearl

• ?????????????????MMT????!????????!
• ???????????????Mingazzini test?!(??B)

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???? (???) ?????? ?????? ???? ???? ??????? ???? ????
???????????????????????????????????? ???????????
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CT??????????

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?????!!
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????!

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