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临床图像:在严重可逆性脑血管收缩综合征中对称的形受限扩散

Shohei Noguchi¹, Ryo Miyaoka¹, Hiroshi Miyachi¹

¹Department of Neurosurgery, Kitakyushu City Yahata Hospital, Kitakyushu, Japan.

World neurosurgery

|June 21, 2023

概括

选择性血清素再吸收抑制剂可以导致可逆大脑血管收缩综合征 (RCVS),导致中风. 及时诊断和戒药对于抑郁症患者的康复至关重要.

科学领域:

神经学神经学
精神病学是一个精神病学.
放射学放射学是一门学科.

背景情况:

血清增强药物经常被用于慢性抑郁症.
可逆大脑血管收缩综合征 (RCVS) 是一种由大脑动脉的严重血管收缩为特征的疾病.
RCVS可能导致严重的神经并发症,包括缺血性中风.

研究的目的:

报告一个可逆大脑血管收缩综合征 (RCVS) 病例,呈现与非典型的双边脑梗塞.
突出显示血清激素药物治疗与RCVS之间的潜在关联.
强调在患有抑郁症和神经症状的患者中识别RCVS的重要性.

主要方法:

一名45岁的女性患有慢性抑郁症,接受双重血清激素疗法,出现雷式头痛和骨干障碍.
磁共振成像 (MRI) 显示了双边中侧顶叶梗塞和严重的大脑动脉血管收缩.
确认了RCVS的诊断,并且停止了血清激素药物治疗.

主要成果:

患者的症状通过通道阻断剂和硫酸得到改善.
观察到非典型,双边和对称的脑梗塞,可能是由于严重血管收缩引起的低输液.
患者在20天后出院,症状明显改善.

结论:

血清增压药物是药物诱导的RCVS的潜在原因.
精神病学家必须意识到RCVS作为抑郁症患者经历神经缺陷的差异诊断.
迅速识别和管理RCVS对于预防严重的神经结果至关重要.

关键词:

旋转形式的限制扩散.神经成像是一种神经成像.可逆大脑血管收缩综合征血清激素药物血清激素药物

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