在以色列Moyamoya病和Moyamoya综合征之间的比较
Y Schwartzmann1, S Spektor2, S Moscovici2
1Departments of Neurology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
概括
莫亚莫亚病 (MMD) 和莫亚莫亚综合征 (MMS) 的临床结果相似,尽管年龄和风险因素不同. 在这两组中,重复性中风影响到25%的患者,突显了这种脑血管疾病的严重性.
科学领域:
- 神经学 神经学
- 血管神经学 血管神经学
- 神经成像是一种神经成像.
背景情况:
- 莫亚莫亚是一种慢性血管病,影响大脑动脉.
- 它呈现为原发性莫亚莫亚病 (MMD) 或二次莫亚莫亚综合征 (MMS).
- MMS与内动脉样硬化等疾病有关.
研究的目的:
- 为了比较MMD和MMS患者的特征.
- 分析临床表现,风险因素和结果.
- 为了评估20年来以色列患者的治疗和中风复发情况.
主要方法:
- 64名被诊断为MMD或MMS的患者的回顾性分析.
- 人口统计,症状,放射学数据和血管风险因素的比较.
- 评估治疗选择,中风复发和功能结果.
主要成果:
- MMD患者比MMS患者年轻 (中位数为20岁与40岁).
- 临床表现或长期残疾没有显著差异.
- 类似的手术干预率 (48%的MMS与44%的MMD相比).
- 在这两组中,大约25%的患者出现了复发性中风.
结论:
- MMD和MMS在临床或放射性表现上没有显著差异.
- 重复性中风是一个显著的风险,在高达25%的患者中发生.
- 需要进一步的研究来确定高风险的个人中风和复发.
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