Piramidalismo post accidente cerebro vascular isquémico idiopático: reporte de caso

Freddy Steven Cardenas Mora; Lizette Espinosa Martin; Erika Paola Guartazaca Guerrero

doi:10.26820/reciamuc/7.(2).abril.2023.768-778

Freddy Steven Cardenas Mora Universidad Católica de Cuenca https://orcid.org/0000-0001-5797-0209
Lizette Espinosa Martin Universidad Católica de Cuenca https://orcid.org/0000-0002-3455-4437
Erika Paola Guartazaca Guerrero Hospital Vicente Corral Moscoso https://orcid.org/0009-0002-2303-6623

DOI: https://doi.org/10.26820/reciamuc/7.(2).abril.2023.768-778

Palabras clave: Accidente Cerebrovascular Isquémico, Evolución Clínica, Isquemia Encefálica, Manejo de Caso, Terapéutica, Tractos Piramidales

Resumen

El índice de mortalidad de los pacientes que han sufrido un accidente cerebro vascular isquémico es elevado, pero el índice de pacientes con secuelas neurológicas y motoras debido a la lesión focalizada del cerebro es aún mayor. Los pacientes que sobreviven a la isquemia encefálica producida por una lesión cerebral focal necesitan cuidados crónicos para recuperarse o por lo menos compensar las funciones motoras y sensoriales que se deterioraron durante el accidente. El diagnóstico debe estar acompañado de la clínica y la imagenología, para así poder realizar un tratamiento efectivo e inmediato. A continuación, se presenta el caso de un paciente de 60 años, masculino, que a la edad de 46 años y durante las horas de la madrugada sufre un accidente cerebro vascular. Al momento del ingreso el paciente presenta síndrome isquémico cerebral izquierdo acompañado de afasia motora y de hemiplejia derecha. En tomografía axial computarizada simple de cráneo se descarta hemorragia, y se procede a iniciar terapia antitrombótica. El tratamiento inmediato permite una evolución muy favorable a los pacientes, incluso disminuyendo las secuelas neurológicas secundarias a la enfermedad.

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Biografía del autor/a

Freddy Steven Cardenas Mora, Universidad Católica de Cuenca

Estudiante de la Facultad de Medicina de la Universidad Católica de Cuenca; Cuenca, Ecuador

Lizette Espinosa Martin, Universidad Católica de Cuenca

Especialista en Medicina Interna; Doctora en Medicina; Universidad Católica de Cuenca; Cuenca, Ecuador

Erika Paola Guartazaca Guerrero, Hospital Vicente Corral Moscoso

Especialista en Docencia Universitaria; Especialista en Neurología; Médica; Hospital Vicente Corral Moscoso; Cuenca, Ecuador

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