手术后的细分脑静脉鼻血栓:风险因素,临床影响和治疗考虑
Carmelo Lucio Sturiale1, Anna Maria Auricchio2,3, Iacopo Valente4
1Department of Neurosurgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, L.go A. Gemelli, 8 - 00168, Rome, Italy. cropcircle.2000@virgilio.it.
Neurosurgical review
|July 3, 2023
概括
手术后的大脑静脉鼻血栓 (CVSTs) 是罕见的,在切除术后通常无症状. 大多数CVST患者经历了良好的结果,抗凝血药可能不会显著改变结果.
科学领域:
- 神经外科 神经外科
- 血管神经学 血管神经学
- 放射学 放射学是一门学科.
背景情况:
- 大脑静脉鼻血栓 (CVSTs) 是神经外科手术后的罕见并发症.
- 术后CVST的管理是有争议的,因为它们往往是无症状的.
研究的目的:
- 分析术后CVST的临床和神经放射学特征.
- 确定CVST患者的风险因素和评估结果.
主要方法:
- 在切术后对59名患有术后CVST的患者进行了回顾性分析.
- 收集人口统计,临床和实验室数据.
- 对血栓形成进展的连续放射学评估的审查.
主要成果:
- 在 supratentorial (57.6%) 和 infratentorial (37.3%) 骨切除后发生了CVST.
- 只有22%的患者出现了CVST相关的症状,大多数是轻微的.
- 88%的患者在随访时取得了良好的结果 (mRS 0-2).
- 抗凝药的中断,内干涉和是症状的危险因素.
结论:
- 手术后的CVST通常耐受良好,并且通常不会进展.
- 大多数患者仍然没有症状,并取得了良好的结果.
- 系统的术后抗凝剂可能不会显著影响临床或放射性结果.
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