血管神经病瘤学:在老年人中出现前庭性暂时性缺血发作和慢性头
Adolfo M Bronstein1, Jorge Kattah2
1Centre for Vestibular Neuroscience, Department of Brain Sciences, Imperial College London, Charing Cross Hospital, London, UK.
Current opinion in neurology
|November 30, 2023
概括
导致头的过渡性缺血性发作 (TIA) 难以诊断. 大脑小血管疾病 (SVD) 越来越多地被认为是老年人头和平衡问题的原因.
科学领域:
- 神经学 神经学
- 老年病的医生 老年病的医生
- 血管神经学 血管神经学
背景情况:
- 影响前庭通路的过渡性缺血性发作 (TIA) 存在诊断挑战,因为它们与良性的原因重叠.
- 大脑小血管疾病 (SVD) 是导致老年人的步行障碍,跌倒和认知能力下降的重要因素.
研究的目的:
- 为了区分后腔TIAs导致头和/或失衡.
- 审查SVD在老年人平衡功能障碍和头中的作用.
主要方法:
- 总结多学科专业的努力,以识别和干预前体缺血.
- 审查有关SVD对平衡和认知的影响的文献.
主要成果:
- 早期的SVD与老年人的头有关,特定大脑区域的白质变化与认知和平衡问题相关.
- 先进的SVD与步态障碍和痴呆症有关.
结论:
- 间歇性血管需要仔细评估,多学科的方法有助于早期检测和干预.
- 了解SVD的早期表现对于管理老年人头和平衡问题至关重要.
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