归因于可逆大脑血管收缩综合征 (RCVS) 的头痛
Vasileios Tentolouris-Piperas1, Loukas Lymperopoulos1, Argyro Tountopoulou1
11st Department of Neurology, Eginition Hospital, School of Medicine, National and Kapodistrian University of Athens, 11528 Athens, Greece.
Diagnostics (Basel, Switzerland)
|September 9, 2023
概括
可逆大脑血管收缩综合征 (RCVS) 经常伴有雷击头痛和神经症状. 虽然通常在3个月内消失,但持续的头痛和各种表现需要进一步研究.
科学领域:
- 神经学 神经学
- 血管神经学 血管神经学
- 神经成像是一种神经成像.
背景情况:
- 可逆大脑血管收缩综合征 (RCVS) 越来越多地得到认可,但人们对其了解甚少.
- RCVS的特征是雷击头痛,神经缺陷或发作.
- 它可以是固态的或由各种因素引发的.
研究的目的:
- 为了澄清RCVS中的头痛特征.
- 检查血管学发现的时间关联.
- 探索RCVS与SARS-CoV-2的关联及其在儿童中的表现.
主要方法:
- 系统的PRISMA搜索已发表的分析或大型描述性观察研究.
- 对符合特定标准的60项研究数据的审查.
- 分析头痛模式,血管检查结果和临床表现.
主要成果:
- 大多数RCVS患者经历了典型的雷击头痛;不典型的表现或头痛的缺失可能被低估.
- 在RCVS解决方案后,头痛可能会持续.
- 血管收缩在两周内达到顶峰,在三个月内消失;并发症包括中风和出血.
结论:
- RCVS有各种各样的头痛表现,包括不典型的形式和持续的头痛.
- 与SARS-CoV-2的关联需要进一步调查.
- 儿童的RCVS通常与潜在疾病一起发生;需要更多的大规模研究.
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