[新生儿和儿童的静脉和大脑鼻血栓症]
Ricardo Mora1, Luis Ibarra1, Valentina Olivera2
1Cátedra de Neuropediatría, Facultad de Medicina, Universidad de la República, Centro Hospitalario Pereira Rossell, Montevideo, Uruguay.
Medicina
|September 15, 2023
概括
大脑静脉鼻血栓塞 (CVST) 是儿童中风的一个被低估的原因. 新生儿发作和儿童内高血压的早期诊断对于更好的结果至关重要.
科学领域:
- 神经学 神经学
- 儿科 儿科 儿科
- 放射学 放射学是一门学科.
背景情况:
- 大脑静脉鼻血栓塞 (CVST) 是儿童中风的一个未被认可的原因.
- 准确的诊断依赖于高度的临床怀疑,专家的神经成像解释,以及临床医生和放射科医生的合作.
研究的目的:
- 分析儿科CVST的临床特征,风险因素和神经成像发现.
- 改善15岁以下儿童CVST的早期诊断和管理策略.
主要方法:
- 一个多中心,回顾性,描述性研究.
- 包括51名在2010年1月至2022年3月期间被诊断患有CVST的儿科患者.
主要成果:
- 在新生儿中呈现脑病症症状/发作和儿童的内高血压 (ICH) 的CVST.
- 在90%的病例中确定了危险因素;磁共振静脉扫描在80%的病例中证实了诊断.
- 出血并发症发生在30.5%的人群中,在新生儿中更为频繁,新生儿的严重后果率也更高.
结论:
- 在新生儿出现脑病症症状/发作时,以及在儿童出现ICH症状时,特别是有易感因素时,考虑使用CVST.
- 早期识别和干预对于降低儿科CVST的发病率和死亡率至关重要.
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