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血管内治疗后的对比诱导脑病变:两个病例报告
Dragan Jankovic1,2,3, Riki Tanaka3, Kento Sasaki3
1Department of Neurosurgery, University Medical Centre of the Johannes Gutenberg, University of Mainz, Mainz, Germany.
Asian journal of neurosurgery
|January 1, 2024
概括
对比诱导脑病变 (CIE) 是血管造影手术的罕见并发症. 这项研究强调了在内血管治疗后CIE发病延迟的两个病例,挑战了典型的立即或早期呈现.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 血管医学 血管医学
背景情况:
- 对比诱导脑病变 (CIE) 是一种罕见的神经并发症,在对比介质的使用后出现.
- 典型的CIE表现包括立即或24小时内出现症状.
- 内血管程序使用对比介质,对CIE构成风险.
研究的目的:
- 报告两个延迟对比诱导脑病变 (CIE) 的病例.
- 为了调查内血管治疗后CIE的发生情况.
- 扩大对CIE时间呈现的理解.
主要方法:
- 关于两名接受内血管治疗的患者的案例报告.
- 在程序后进行临床观察和神经学评估.
- 审查关于CIE时间的现有文献.
主要成果:
- 两名患者在内血管治疗后出现了晚期发病的CIE.
- 症状明显表现于通常报告的24小时窗口之后.
- 这种陈述不同于以前记录的CIE案例.
结论:
- 延迟CIE是内血管手术后可能出现的并发症.
- 典型的CIE发病时间表可能需要重新评估.
- 需要进一步的研究来了解延迟的CIE机制和发生率.
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