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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
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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.

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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.