可逆大脑血管收缩综合征:病变发生,临床表现和治疗的综述
1Neurology Department, Massachusetts General Hospital, Boston, MA, USA.
概括
可逆脑血管收缩综合征 (RCVS) 是一种独特的脑血管疾病,其特征是脑动脉暂时收窄. 早期诊断和症状管理导致大多数患者的良好康复.
科学领域:
- 神经学 神经学
- 血管神经学 血管神经学
- 神经成像是一种神经成像.
背景情况:
- 几十年来,在各种临床环境中观察到内动脉可逆细分收窄.
- 21年前提出了可逆脑血管收缩综合征 (RCVS) 的统一概念.
- 通过专门的ICD-10代码 (I67.841) 和验证的诊断工具,如RCVS2得分,RCVS获得了认可.
研究的目的:
- 审查可逆脑血管收缩综合征 (RCVS) 的确定的临床和成像特征.
- 讨论RCVS的诊断标准,并发症和管理策略.
- 突出RCVS的有利预后和复发模式.
主要方法:
- 审查RCVS的临床和成像特征.
- 对诊断评分系统 (RCVS2) 的准确性进行分析.
- 并发症的特征,病理生理学和管理结果.
主要成果:
- RCVS主要影响女性,表现为雷击头痛.
- 并发症包括脑下关节/叶叶下部出血,流域缺血性中风,以及在30-50%的病例中出现可逆性.
- 血管收缩在几个小时到几天内进展,影响从远端到近端的动脉.
结论:
- RCVS是一种明确的脑血管综合征,具有特征性的临床和成像发现.
- 管理侧重于缓解症状,避免有害的治疗方法,如葡萄糖皮质激素.
- 大多数患者经历了显著的恢复,罕见的复发,尽管有些人可能有孤立的雷声头痛.
更多相关视频
10:41Analysis of Cerebral Vasospasm in a Murine Model of Subarachnoid Hemorrhage with High Frequency Transcranial Duplex Ultrasound
Published on: June 3, 2021
3.7K
07:03A Low Mortality Rat Model to Assess Delayed Cerebral Vasospasm After Experimental Subarachnoid Hemorrhage
Published on: January 17, 2013
14.4K
相关概念视频
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
24
The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
24
Aneurysm II: Clinical Manifestations and Diagnostic Studies
11
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
11
Vascular Spasm
1.5K
The vascular phase, also known as vasospasm, is the initial stage of hemostasis, crucial for preventing excessive bleeding when a blood vessel is injured. After a vessel is cut, nerves in the damaged area trigger pain and other sensory impulses. Simultaneously, the smooth muscles in the vessel wall contract, resulting in a vascular spasm. This contraction reduces the vessel's diameter at the injury site, slowing or stopping blood loss through the vessel wall. Vascular spasms typically last...
1.5K
