对比诱导的脑病:一个病例系列分析分析
Alexander Stebner1,2,3, Salome Bosshart1,2, Nicolin Hainc4
1Department of Diagnostic Imaging, Foothills Medical Centre, University of Calgary, Canada.
Annals of Indian Academy of Neurology
|August 28, 2024
概括
对比诱发性脑病变 (CIE) 是一种罕见的神经事件,在使用对比介质后发生. 大多数患者都会康复,尽管它仍然未得到充分承认,这凸显了内血管程序需要提高意识的必要性.
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:
- 对比诱导性脑病变 (CIE) 是一种罕见的不良事件,与含有的对比介质相关.
- 随着内血管程序的增加,CIE的发生率可能会增加.
研究的目的:
- 描述对比诱导脑病变的临床特征,危险因素和结果.
- 在临床医生中提高对这种罕见疾病的认识.
主要方法:
- 对来自3个中心的7名患者进行了回顾性病例系列分析.
- 提取与CIE开发和管理相关的关键因素.
主要成果:
- 受影响患者的平均年龄为75岁,性别分布均.
- 常见的危险因素包括高血压,高脂血症,以前的中风和糖尿病.
- CIE发生在各种手术后,包括内血管血栓切除和动脉瘤治疗;类似中风的缺陷最常见.
- 大多数患者接受了非离子,低度的对比剂;普雷尼索隆是常见的治疗方法.
- 4/7名患者出现症状缓解;有一个死亡发生,与CIE没有明确的关系.
结论:
- 对比诱导的脑病变很少见,并且可能被诊断不足.
- 大多数CIE病例都有良好的结局,强调需要识别和适当管理.
相关概念视频
Factors Affecting Illness
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness, disability,...
For instance, risk factors are connected to illness, disability,...
Hazard Ratio
The hazard ratio (HR) is a widely used measure in clinical trials to compare the risk of events, such as death or disease recurrence, between two groups over time. It reflects the ratio of hazard rates—the instantaneous risk of the event occurring—between a treatment group and a control group. This measure provides valuable insights into the relative effectiveness of a treatment by assessing how the risk of an event differs between the two groups.
For example, in a clinical trial evaluating a...
For example, in a clinical trial evaluating a...
Obsessive-Compulsive Disorder
Obsessive-compulsive disorder (OCD) is a mental health condition characterized by recurrent obsessions, compulsions, or both, which consume significant time and interfere with daily functioning. Obsessions involve persistent, intrusive, and unwanted thoughts, images, or urges that evoke anxiety. Common examples include irrational fears of contamination or harm. Compulsions are repetitive behaviors or mental acts performed to reduce the anxiety caused by obsessions. For instance, individuals...
Investigation of Disease Outbreaks
Multistate foodborne outbreaks pose significant public health risks and require meticulous investigation to identify sources and implement control measures. The Centers for Disease Control and Prevention (CDC) utilizes a dynamic seven-step process for these investigations, integrating data from laboratories, interviews, and environmental assessments to protect public health.Outbreak Detection: The detection of multistate outbreaks typically begins with PulseNet, the CDC's national laboratory...
Encephalitis l: Introduction
Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...
Alzheimer Disease l: Introduction
Alzheimer disease is a chronic, progressive, and irreversible neurodegenerative disorder and the most common cause of dementia in older adults. It leads to gradual neuronal loss, causing cognitive decline, behavioral changes, and loss of functional independence.Risk Factors and EtiologyThe disease is multifactorial. Age is the strongest risk factor, with prevalence doubling every 5 years after age 65. Genetic factors include mutations in genes such as APP, PSEN1, and PSEN2, which are associated...


