在脊椎动脉封闭的机械血栓切除术后,无责任的血管区域高 perfusion 综合征:一个病例报告
Wensheng Zhang1, Weifang Xing1, Xiaojing Zhong1
1Department of Neurology, Heyuan People's Hospital, Guangdong Provincial People's Hospital Heyuan Hospital, Guangdong Province, 517000, China.
Heliyon
|June 14, 2023
概括
这份病例报告描述了后部循环中风机械血栓切除术后前部循环中高 perfusion 综合征. 间多普勒超声波检测发现了病情,指导了治疗和康复.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 神经成像是一种神经成像.
背景情况:
- 机械血栓切除术是急性脑梗塞与大血管封闭的关键治疗方法.
- 过 perfusion 综合征是一种已知的并发症,但在后部循环中风后,无反应性血管区域的报道很少见.
研究的目的:
- 报告一种罕见的前部循环中高 perfusion 综合征的病例,该病例是在后部循环中风的机械血栓切除术后发生的.
- 要突出跨皮多普勒超声波在诊断和管理这种情况的实用性.
主要方法:
- 一名21岁的女性患者患有左脊椎动脉堵塞,接受了机械血栓切除术.
- 在手术后,使用床边的横多普勒超声波来评估大脑血液流动速度.
- 患者接受了镇静和严格的血压控制.
主要成果:
- 成功实现了再通道化,但患者出现了兴奋,高血压和头痛.
- 跨骨多普勒显示,与左侧相比,右侧中脑动脉的血流速度显著增加.
- 症状通过镇静和血压管理得到缓解,血流速度在第5天正常化.
结论:
- 过 perfusion 综合征可以发生在后背循环中风的机械血栓切除术后的前循环区域.
- 床边横多普勒扫描仪是早期识别和监测大脑溢血的有效工具.
- 及时诊断和管理对于有利的患者结果至关重要.
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