水shed中风的诊断和治疗:一个叙事审查
Oana Andreea Dogariu1,2, Ioan Dogariu2, Corina Maria Vasile3
1University of Medicine and Pharmacy, Craiova, Romania.
Journal of medicine and life
|September 7, 2023
概括
流域中风发生在主要脑动脉之间的边界区域. 本综述强调了成像特征和临床相关性,以更好地诊断和管理这些关键性缺血事件.
科学领域:
- 神经学 神经学
- 神经成像是一种神经成像.
- 血管神经学 血管神经学
背景情况:
- 流域中风是在大脑动脉领土之间的边界区域发生的缺血事件.
- 病理生理学涉及低 perfusion 和栓塞,但机制仍然不完全理解.
- 图像特征被识别,但临床相关性需要进一步定义.
研究的目的:
- 为了审查流域中风的成像特征.
- 为了有效管理,将临床特征与诊断算法相关联.
- 强调迅速识别和病因调查.
主要方法:
- 文献综述,重点关注分水中风成像.
- 临床表现与诊断途径的相关性.
- 对病理生理机制的分析.
主要成果:
- 流域冲动在边界区域呈现出不同的成像模式.
- 临床特征指导了对中风病因的诊断工作.
- 确定负责的机制 (低输液与栓塞) 是至关重要的,但具有挑战性.
结论:
- 迅速的神经识别流域中风是必不可少的.
- 综合成像和临床评估是最佳治疗策略的关键.
- 需要进一步的研究,以充分阐明潜在的病理生理机制.
关键词:
ACA - 前脑动脉 - 前脑动脉BMT - 最好的医疗治疗CAS - 冠状动脉支架 - 冠状动脉支架CBF - 大脑血流 - 大脑血流.CBV - 大脑血液体积.CBZ - 皮质边界区域 - 皮质边界区域CEA - 带内关节切除术CT - - 计算机断层扫描.DWI - 扩散权重成像技术欧洲冠状动脉手术试验 (ECST) - 欧洲冠状动脉手术试验FLAIR - 流体衰减反转恢复恢复国际边境区 (IBZ) - 内部边境区的区域.ICA - 内动脉的内动脉.LVO - 大型船只的遮蔽.MCA - 中脑动脉 - 中脑动脉磁共振成像 - 磁共振成像 - 磁共振成像多发性硬化症 - 多发性硬化症美国国立卫生研究院 (NIHSS) - 美国国立卫生研究院中风量表.PCA - 后脑动脉 - 后脑动脉PET-正子发射断层扫描 - 聚二烯.SPECT - 单光子发射断层扫描 - 单光子发射断层扫描TIA - 过渡性缺血性攻击TOF - 飞行时间.WI - 流域心脏病发作流域心脏病发作 流域心脏病发作动脉狭窄症是什么意思这是一种hypoperfusion.缺血性中风 中风
相关概念视频
01:23Atherosclerosis IV: Nursing Management
21
Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
21
01:27Regulation of Stroke Volume
3.3K
The regulation of stroke volume, which is the amount of blood the heart pumps out during each heartbeat, is critical for maintaining a healthy circulatory system. Stroke volume is influenced by three main factors: preload, contractility, and afterload.
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
3.3K