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Estudo de Caso
Juca, sofreu Acidente vascular encefálico no hemisfério esquerdo, na avaliação clínica apresentou dificuldade na falar, na visão e dificuldade para realizar os movimentos do membro superior direito.
a) quais regiões funcionais corticais foram lesionadas e onde se encontram?
b) quais artérias cerebrais foram comprometidas?
c) qual lado do corpo apresenta déficit motor? É importante primeiramente saber exatamente a extensão da lesão decorrente do AVE, e isso não pode ocorrer apenas com um exame clínico. Deve-se salientar que o diagnóstico e tratamento precoce depende da rapidez com que o paciente é levado a uma emergência médica. Outros exames serão necessários, entre eles estão os exames de imagem, tomografia ou ressonância magnética e estes devem ocorrer de preferência entre no máximo 45 minutos da ocorrência do AVE (a tomografia tem preferência pela falta de contraindicação, rapidez e disponibilidade). Outro exames complementares também poderão ser realizados, entre eles eletrocardiograma, ecocardiograma, ultrassom com Doppler das carótidas, Doppler transcraniano e exames de laboratório com vista a esclarecer a causa do problema.

a)As regiões afetadas de acordo com a avaliação clínica provavelmente foram, sulco calcarino no lobo occipital na região posterior devido à dificuldade apresentada na visão. Já a dificuldade com a palavra falada está relacionada com giro frontal inferior do hemisfério esquerdo e a dificuldade para realizar os movimentos do membro superior direito está associado com lesão na área de broca no cortex pré frontal.
b)As artérias que podem ter sido comprometidas são artéria cerebral média e posterior, devido as dificuldades apresentadas.
c)O déficit motor ocorre do lado oposto a lesão, se esta foi no hemisfério esquerdo o déficit motor será no direito.

CENTRO UNIVERSITÁRIO UNIVATES

ESTUDO DE CASO

Trabalho apresentado à disciplina de Anatomia e Fisiologia Humana, para professora Marilúcia V. dos Santos, curso de Enfermagem, pela acadêmica Mara Adriana Ribeiro Bender.

Lajeado, outubro de 2014.

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