大脑静脉鼻血栓的罕见原因:一个系统的审查
Rafaella Theologou1, Antonios Nteveros1, Artemios Artemiadis1,2
1Department of Neurology, Nicosia General Hospital, 2029 Nicosia, Cyprus.
Life (Basel, Switzerland)
|May 27, 2023
概括
这次审查确定了罕见的脑静脉鼻血栓症 (CVST) 病例,发现异常和炎症原因是最常见的. 抗凝药改善了结果,但在术后/创伤性CVST中使用不足.
科学领域:
- 神经学 神经学
- 血液学 血液学 血液学
- 血栓形成研究研究
背景情况:
- 大脑静脉鼻血栓症 (CVST) 是一种罕见的疾病,通常与血栓性,激素因素,恶性或血液性疾病有关.
- 识别和总结罕见的CVST病例对于了解各种病因和管理至关重要.
研究的目的:
- 为了识别和总结脑静脉鼻血栓症 (CVST) 的罕见病例.
- 根据病因分类罕见的CVST病例,并比较临床特征和结果.
主要方法:
- 在2022年11月,对Medline数据库进行了全面的文献搜索.
- 常见CVST病因的病例被排除在外;对于符合条件的病例,提取了人口和临床数据.
- 符合条件的病例被分为炎症性,初级中枢神经系统瘤,术后/创伤性和异常组进行分析.
主要成果:
- 分析了76例罕见的CVST病例,其中最常见的原因是异常和炎症.
- 内出血发生在23.7%的病例中,在炎症组 (45.8%) 显著高.
- 大多数情况下使用的抗凝药与更好的结果相关,尽管在术后/创伤性CVST中使用率很低 (43.8%).
结论:
- 罕见的CVST病例主要是异常性或炎症性.
- 出血是异常性CVST病例中一个显著的并发症.
- 在创伤后或手术后的神经外科CVST中,抗凝剂的不足使用需要注意.
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