在老年人中产生性脑粉样性血管病变
Larysa Panteleienko1,2, Dermot Mallon3, Rupert Oliver3
1Department of Brain Repair and Rehabilitation, Stroke Research Centre, UCL Queen Square Institute of Neurology, London, UK.
European journal of neurology
|March 21, 2024
概括
创致性脑粉样血管病变 (CAA) 可以发生在神经外科手术后的老年人中,几十年后呈现. 这一发现扩大了疾病的范围,有助于诊断这种罕见的疾病.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 病理学 病理学 病理学
背景情况:
- 全球范围内越来越多地报告了催产性脑粉样血管病变 (CAA).
- 诊断通常需要有潜在的粉样β传播的医疗程序的病史,例如尸体硬质体移植或神经外科手术.
- 大多数报告的病例都出现了由于童年手术导致的早期发病.
研究的目的:
- 描述老年人中阳性CAA的病例.
- 扩大对阳性CAA临床表现和诊断挑战的理解.
- 突出在老年患者中诊断阳性CAA时需要提高警的需要.
主要方法:
- 追溯案例系列分析.
- 对五名老年患者 (≥65岁) 的临床表现和病史的审查.
- 评估神经外科干预和潜伏期.
主要成果:
- 在65岁及以上的成年人中发现了五例可能的阳性CAA.
- 所有患者都曾经接受过神经外科干预,并在30-39年的潜伏期后出现.
- 尸体硬膜使用在一个案例中得到证实,在其他案例中被怀疑.
结论:
- 阳性CAA可以在老年人中出现,扩大其已知的临床谱.
- 在这个年龄组中诊断阳性CAA是具有挑战性的,特别是将其与零星CAA区分开来.
- 警晚发性阳性CAA对于理解其全部影响至关重要.
关键词:
粉样蛋白-βββββββββββββββββββββββββββββββββββββββββββββββββββββββββββββββ尸体的坚硬物质 尸体的坚硬物质创致性脑粉样性血管病变 脑粉样性血管病变神经外科神经外科手术普里昂是什么意思?普里昂是什么意思?更多相关视频
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