心血管血栓性中风是在前侧乳头肌肉的扩散化的情况下发生的
1Neurology, Duke University Medical Center, Durham, North Carolina, USA rahul.gaini@duke.edu.
BMJ case reports
|November 17, 2023
概括
乳头肌肉的状化 (CCPM) 是心血管血栓性中风的潜在危险因素. 这一发现可能需要对受影响个体中风预防指南进行进一步的研究.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 眼科医生 眼科 眼科
背景情况:
- 中央视网膜动脉堵塞 (CRAO) 可能是栓塞性中风的迹象.
- 体栓塞是已知的中风原因之一,但鉴定其来源可能具有挑战性.
- 乳头肌肉的状化 (CCPM) 是一种罕见的心脏发现.
研究的目的:
- 调查CPM和栓塞性中风之间的潜在联系.
- 描述CPM和中风患者的临床表现和诊断结果.
- 讨论对中风预防策略的影响.
主要方法:
- 一个患者出现视力丧失的病例报告.
- 眼科检查,包括眼底镜.
- 头骨和轨道MRI. 头骨和轨道MRI.
- 胸外心电图和心脏MRI用于心脏评估.
主要成果:
- 患者出现了由于CRAO引起的急性无痛视力丧失.
- 核磁共振扫描显示了MCA区域和小脑中的多焦点亚临床心脏病发作.
- 心脏MRI发现了前侧乳头肌肉的特征性化.
- 高压治疗提供了轻微的改善;抗凝血和手术被推迟.
结论:
- CCPM可能是心血管栓塞性中风的一个未被认可的来源.
- 这一案例凸显了密码性中风中彻底的心脏评估的重要性.
- 需要进一步的研究和临床指导方针来解决中风预防CCPM的管理问题.
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