在脑静脉血栓症患者中确定内的危险因素
Yasemin Dinç1, Rıfat Ozpar2, Bahattin Hakyemez2
1Uludağ University, Faculty of Medicine, Department of Neurology, Bursa, Türkiye.
Arquivos de neuro-psiquiatria
|May 31, 2023
概括
大脑静脉鼻血栓塞 (CVST) 可以导致内. 小额上皮层出血,恶性瘤和静脉附带得分为0是关键的危险因素. 建议对这些患者进行密切观察.
科学领域:
- 神经学 神经学
- 血管神经学 血管神经学
- 神经外科 神经外科
背景情况:
- 大脑静脉鼻血栓塞 (CVST) 的理解比动脉缺血性中风要少.
- 虽然CVST往往有良好的预后,但可以导致膜病变和致命的内.
- 鉴定的危险因素对于及时干预至关重要,包括去压缩式切除术.
研究的目的:
- 确定诊断为脑静脉鼻血栓症的患者内的独立风险因素.
- 确定与CVST中的风险增加相关的特定临床和放射学标志物.
主要方法:
- 在2015年至2021年期间,对177名被诊断患有CVST的患者进行了回顾性分析.
- 纳入标准:确认了CVST的诊断.
- 统计分析,包括二进制物流回归,以确定重大风险因素.
主要成果:
- 在177名患者中,18名患者出现了内.
- 在椎和上部斜性鼻血栓,鼻直肠血栓,静脉附带得分,非出血性静脉中风,恶性瘤,小额皮层出血和皮层静脉血栓之间发现了显著的关联.
- 二元逻辑回归确定了静脉附带评分为0,恶性瘤和小额皮层出血是最重要的独立风险因素.
结论:
- 小额上皮层出血,恶性瘤的存在和静脉附带得分为0是CVST患者内的独立危险因素.
- 这些发现凸显了对CVST患者密切临床监测的必要性.
- 鉴定出这些风险因素的患者可能会从考虑去压缩性脑膜切除术中受益.
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