静脉内神经囊结:不同局部的比较分析. 临床过程和治疗. 一个系统的审查
Zoran Josif Milenkovic1, Stefan Desimir Momcilovic2, Aleksandra Milivoje Ignjatovic3
1Surgery, General Hospital, Nis, Serbia.
概括
腹腔内神经囊硬化症 (IVNCC) 是一种严重的疾病,常常导致水脑. 手术切除囊是最有效的治疗方法,在大多数患者中带来了良好的结果.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 寄生虫学的寄生虫学
背景情况:
- 神经囊性 (NCC) 是一种常见的寄生虫感染,具有显著的发病率和死亡率.
- 静脉内心NCC (IVNCC) 是一个不太常见的,但潜在的快速进展的形式,需要特定的治疗方法.
- 现有的文献缺乏关于IVNCC的临床过程和管理的系统审查.
研究的目的:
- 系统地审查和分析心室内神经囊病的临床表现,管理和结果.
- 评估基于心室内的囊局部化的独特临床特征和治疗策略.
- 为IVNCC提供基于证据的见解,以改善患者护理和治疗决策.
主要方法:
- 使用Medline和谷歌学者进行了全面的文献搜索.
- 数据提取包括患者人口统计,症状,诊断结果,囊局部,治疗方式和结果.
- 使用统计分析,包括千平方和费舍尔精确测试,来评估频率和显著性 (p < 0.05).
主要成果:
- 分析了160例IVNCC病例,其中83.4%的病例存在水头.
- 孤立的IVNCC和第三/第四心室中的囊与年轻患者和特定的囊类型有关.
- 头痛,意识变化和焦点神经缺陷是关键的临床表现;手术切除是主要治疗方法,产生了83.7%的有利结果率.
结论:
- IVNCC呈现为一种令人担忧的疾病,主要以水头为特征.
- 早期识别和手术干预对于管理IVNCC至关重要,手术是首选的治疗方法.
- 由于CSF阻塞而导致内压力的突然增加仍然是导致死亡的主要原因.
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