Middle-aged women who have no obvious cause are slow to respond and confused in speech. What are the reasons?

Thanks to the medical pulse nerve station friend @ for sharing the case patient: middle-aged, female.

Brief medical history: Past medical history of diabetes, chronic gastritis, etc.

There was no obvious cause 1 day ago.
Unresponsiveness, lack of clarity of speech, decreased comprehension, confusion of speech, occasional answers to unanswered questions, weakness of left limbs, instability of holding objects, and acceptable walking.

Symptoms persist.

Physical examination: mixed aphasia, mainly sensory.

The left nasolabial fold is shallow, left upper limb muscle strength is 3-4, and left lower limb muscle strength is 5.

Auxiliary examination: MRI of the brain suggests a new cerebral infarction in the right cerebral hemisphere.

There were no obvious special abnormal values ​​in blood tests.

What is your diagnosis? Click to enter the mini program, check the answer, and enter the mini program below [Yimaitong case exchange] to learn and discuss with your comrades! ☟☟☟↓↓↓ Click to read the original text, view the answer and more videos and discussions~