PHACE症候群における神経イメージングの発見の長期的な進化に関する多センター研究
Elizabeth George1, Mitchell Braun2, Rachel Vassar3
1Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, USA.
まとめ
PHACE症候群の子供のほぼ3分の1が進行性脳血管動脈病変を経験しています. 長期イメージングは,この進行を示していますが,PHACE患者では脳卒中はまれです.
科学分野:
- 神経皮質疾患 神経皮質疾患
- 小児神経学 小児神経学
- 血管の異常について
背景:
- PHACE症候群 (後方穴の異常,血管腫,動脈の異常,心臓の異常,目の異常) は,複雑な神経皮質疾患である.
- 頸動脈異常は,長期的な監視を必要とする重要な特徴です.
研究 の 目的:
- PHACE症候群における長期的な神経イメージングの進化を評価するために.
- 動脈病変と頭蓋内血球腫の進行に焦点を当ててください.
主な方法:
- 16のサイトで83人のPHACE患者からの神経イメージングの遡及的レビュー.
- 最初のスキャン (約1歳) と,最新のスキャン (平均14歳) の比較.
- 構造的異常,心臓発作,血管異常,進行性動脈病の評価.
主要な成果:
- 進行性動脈病変は患者の29.4%で観察され,7%のモヤモヤを含む.
- 初期血管リスクスコアは,動脈病変の進行を予測できませんでした.
- 頭蓋内血球腫は,メッケル洞窟の拡大と関連しており,インボリューション的変化を示唆しています.
結論:
- PHACE患者の有意な割合は,時間の経過とともに進行性脳血管動脈症を発症する.
- 脳卒中は稀ですが,動脈病変の進行のリスクは,最適な監視戦略のさらなる調査を正当化します.
キーワード:
動脈病気が発症する.MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,MRA,M神経皮質性 神経皮質性PHACE (ペース) とは血管病は,血管病である.さらに関連する動画
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