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Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
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A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
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Vasogenic edema is a major form of cerebral edema characterized by abnormal accumulation of fluid in the brain’s extracellular space due to disruption of the blood–brain barrier (BBB). The BBB is a specialized structure composed of endothelial cells connected by tight junctions, supported by astrocytic endfeet and a basement membrane. Under normal conditions, it tightly regulates the movement of ions, proteins, and solutes between the bloodstream and brain parenchyma. When this barrier loses...

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动脉瘤下皮质血瘤:一个系统性审查

Mohammad Aladawi1, Mohamed Elfil1, Zaid R Najdawi1

  • 1Department of Neurological Sciences, University of Nebraska Medical Center, Omaha, NE, USA.

Neurocritical care
|February 9, 2024
PubMed
概括

动脉膜下皮质血瘤 (aSDH) 是罕见的,但与糟糕的结果相关,特别是当与动脉膜下关节出血 (aSAH) 发生时. 手术干预可以改善患者的治疗结果.

关键词:
内动脉瘤是一个内动脉瘤.甲状腺下下垂体出血下皮质血腫 (Subdural Hematoma) 是一种体外血腫.啊啊啊啊啊啊啊啊啊啊啊啊啊啊aSDH是一个SDH.

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科学领域:

  • 神经外科 神经外科
  • 神经学 神经学
  • 放射学 放射学是一门学科.

背景情况:

  • 动脉瘤下硬质血瘤 (aSDH) 是动脉瘤破裂的一种罕见并发症,发生在0.5-7.9%的动脉瘤下arachnoid出血 (aSAH) 患者中.
  • 关于SDH患者的临床表现,病程和结果的数据有限.

研究的目的:

  • 系统地审查有关SDH患者的人口统计,临床表现,动脉瘤位置,治疗和治疗结果的文献.
  • 为了比较aSDH患者与aSAH并发或不并发之间的结果.

主要方法:

  • 按照PRISMA指南对PubMed,EMBASE和谷歌学者进行系统审查.
  • 提取有关患者人口统计,临床表现,成像,手术干预和结果的数据.
  • 使用千平方和逻辑回归分析,在不同组之间对结果,手术治疗需求和动脉瘤位置的统计比较.

主要成果:

  • 确定了112篇文章,共计270名患者 (70%为女性,平均年龄为52.8岁).
  • 中脑动脉动脉瘤是最常见的.
  • 孤立的aSDH患者比aSAH患者 (6%) 恢复得更好 (38%).
  • aSAH的存在增加了不利结果的几率 (OR 2.68).
  • 在无变量分析中,手术治疗与不良结果呈反向关联.

结论:

  • aSDH是罕见的,但它与aSAH同时发生会导致不良结果.
  • 手术治疗与减少不良结果的发生率有关,包括死亡和严重残疾.