在接受抗凝血药物治疗的脑内低血压患者中,外周血补丁
Gabriela Petersen1,2, Mónica Edith Salmerón-Mercado2, Karla Madrigal-Rentería2
1ITESM Campus Guadalajara, Zapopan, Jalisco, Mexico.
Practical neurology
|September 5, 2024
概括
在患有凝血障碍的患者中,自发的内低血压管理具有挑战性. 尽管存在抗凝血风险,外周血补丁证明是有效的,提供持续的症状缓解.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 自发性内低血压 (SIH) 呈现出经典症状和成像发现.
- 对SIH而言,保守的管理往往是无效的.
- 患有抗脂综合征和血小板狭窄症的患者,由于出血和凝血风险,对治疗提出了独特的挑战.
研究的目的:
- 描述在SIH患者和有血栓事件史的患者身上成功应用外周血补丁的成功应用.
- 审查在接受抗凝药或患有出血障碍的患者内外腔血补丁的适用性和安全考虑.
主要方法:
- 一个中年男性患有SIH的病例报告,以及抗脂综合征和自身免疫性血小板衰竭的病史.
- 试图暂时停止抗凝剂,导致血栓形成.
- 进行了光学引导的,多层次的外周周道血液贴片.
主要成果:
- 患者在术后经历了显著的症状改善和放射学解决.
- 在9个月的随访中,放射性改善得到维持.
- 尽管患者病史复杂,手术还是成功的.
结论:
- 外周血补丁可以作为SIH的安全有效治疗方法,即使在具有显著血栓形成风险的患者中也是如此.
- 仔细管理抗凝血和出血障碍是非常重要的,当考虑外周血补丁.
- 需要进一步审查在抗凝血患者或患有血液疾病的患者中外周周道血液贴片的作用.
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