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在血管内脑动脉瘤线圈栓塞后,包括头痛和发烧在内的Postcoiling综合征:叙述性综述
Yu Okuma1, Toshinari Meguro2, Kentaro Shimoda1
1Department of Neurological Surgery, Sonoda Daiichi Hospital, Tokyo, Japan.
Brain circulation
|August 14, 2023
概括
卷积后综合征 (PCS) 涉及脑动脉瘤卷积后的常见,轻微症状. 研究表明,生物活性反应可能导致PCS,可能可以使用组胺-2-受体对手来治疗.
科学领域:
- 神经外科 神经外科
- 神经辐射学神经辐射学
- 血管神经学 血管神经学
背景情况:
- 血管内脑动脉瘤卷积越来越多地比手术剪切更受欢迎,这是由于可比的结果和减少的侵入性.
- 经手术后的症状,如头痛和发烧,在未破裂的大脑动脉瘤线圈栓塞后经常观察到,但由于自发的解决,往往被忽视.
研究的目的:
- 审查和标准化后卷积综合征 (PCS) 的概念,这是一个常见但未被认可的疾病,脑动脉瘤卷积后.
- 探索PCS的标准,风险因素,机制,临床意义和潜在的治疗方法.
主要方法:
- 对现有关于后卷结综合征研究的文献综述.
- 分析报告的标准,风险因素和拟议的机制.
- 检查初步治疗数据和预后潜力.
主要成果:
- 卷积后综合征 (PCS) 是大脑动脉瘤卷积后常见的,短暂的术后症状的特征.
- 有证据表明,生物活性反应可能是PCS的基础.
- 初步数据表明,组胺-2-受体对抗剂可能会抑制PCS的发展.
结论:
- 后卷综合征 (PCS) 需要进一步调查和诊断标准的标准化.
- PCS可以作为一个潜在的预测标志物,用于动脉瘤复发后栓塞.
- 未来的研究应该集中在病例积累,概念统一和长期后续行动上.
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