PMC9751361_01
Radiology results. (A) Patient's cranial DWI imaging. The green arrow marks the abnormal signal on the right side of the patient's medulla oblongata, which is considered as acute cerebral infarction. (B) CT imaging of the patient's head. The green arrow marks a small hypodense lesion on the right side of the medulla oblongata, suggesting the possibility of infarction on the right side of the medulla oblongata. (C) CT imaging of the patient's abdomen. The green arrow marks the swelling and exudation of the pancreas, indicating acute pancreatitis.
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Then cranial DWI revealed brainstem infarction ( Figure 1A ), and the patient was given urokinase thrombolysis, oxygen inhalation, antihypertensive, lipid-lowering, and intracranial pressure-lowering (diuretics and mannitol) treatments at once. At this time, head CT revealed a small hypodense lesion on the right side of the medulla oblongata ( Figure 1B ), which was consistent with the presentation after intravenous thrombolysis of stroke. Abdominal CT revealed pancreatic swelling and exudation ( Figure 1C ), fatty liver, and double renal calculi.
Major lipid trends in our patient. (A) Trends in triglyceride changes during hospitalization. Maximum lipid-lowering benefit was obtained in the first combined blood purification therapy, with further reduction in triglyceride levels in the subsequent treatment. (B) Trends in total cholesterol changes during hospitalization. The trend was generally consistent with triglyceride levels, and total cholesterol levels returned to normal after the first combined blood purification therapy. Abbreviations: Double Filtration Plasmapheresis (DFPP); Continuous veno-venous hemofiltration (CVVH); Hemoperfusion (HP).
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We ended up with good laboratory results, we graphed the patient's major lipid changes ( Figure 2 ).