延迟创伤性内动脉瘤:文献综述和病例系列
Etienne Lefevre1,2, Rayan Fawaz3, Kevin Premat4,5
1Department of Neurosurgery, Pitié-Salpêtrière University Hospital, 47-83 Boulevard de l'hôpital, Paris, 75013, France. etienne.lefevre@neurochirurgie.fr.
Neurosurgical review
|July 26, 2024
概括
延迟创伤性内动脉瘤 (TICA) 很少见,但具有攻击性. 在头部创伤后重复的血管成像对于及时的TICA诊断和治疗至关重要,改善了患者的治疗结果.
科学领域:
- 神经外科 神经外科
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 创伤性内动脉瘤 (TICAs) 是一种不常见但具有攻击性的血管病变.
- 头部创伤后的初始成像可能会错过延迟的TICA,需要进一步评估.
- 及时诊断和治疗对于管理TICA至关重要.
研究的目的:
- 报告机构对延迟的TICAs的经验.
- 强调对延迟TICAs的重复血管学查的临床意义.
- 审查有关TICA诊断和治疗时间表的文献.
主要方法:
- 在第三级护理中心对TICA患者的回顾性分析.
- 按照PRISMA指南进行系统的文献审查.
- 专注于从受伤到诊断和诊断到治疗的时间间隔.
主要成果:
- 9名患者被诊断患有12次延迟的TICA.
- 从受伤到诊断的中位时间为2天;诊断到治疗为2天.
- 文献审查显示,中位数的诊断延迟是受伤后15天,其中73%在第一周后被诊断出来.
结论:
- 在TICA治疗后可以获得可接受的结果.
- 在最初的负面扫描后,重复的血管成像对于排除延迟的TICA至关重要.
- 早期和重复的成像策略可以提高TICA检测率.
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