非动脉瘤雷头痛的病因和特征,呈现为急性设置
Nika Zorko Garbajs1, Deena M Nasr2, Fernanda Bellolio3
1Department of Medicine, Division of Critical Care and Pulmonary Medicine, Mayo Clinic, Rochester, MN 55905, USA; Department of Vascular Neurology and Intensive Therapy, University Medical Centre Ljubljana, 1000, Slovenia; Medical Faculty, University of Ljubljana, 1000, Slovenia.
The American journal of emergency medicine
|September 20, 2024
概括
非动脉瘤雷头痛 (TCH) 通常有严重的潜在原因,包括内出血和可逆脑血管收缩综合征. 预测得分有助于临床医生识别需要进一步调查TCH的患者.
科学领域:
- 神经学 神经学
- 紧急医疗 紧急医疗
- 神经科学是一个神经科学.
背景情况:
- 雷头痛 (TCH) 是一种独特的临床表现,需要及时诊断.
- 识别TCH的严重原因对于预防不良的神经结果至关重要.
- 瘤性TCH的非动脉瘤性原因是多种多样的,需要仔细评估.
研究的目的:
- 描述非动脉瘤雷头痛 (TCH) 的病因.
- 要区分TCH的严重和良性原因.
- 开发一种严重TCH的预测模型.
主要方法:
- 在539名患有TCH的成年患者 (不包括动脉瘤下关节出血) 的回顾性队列研究中.
- 病例根据潜在的神经障碍或死亡的可能性被分为严重或良性.
- 开发了一个多变量后勤回归模型来预测严重的TCH.
主要成果:
- 在非动脉瘤性TCH病例中,51%有严重的潜在原因.
- 内出血 (18.9%) 和可逆脑血管收缩综合征 (18.0%) 是常见的严重诊断.
- 结合临床因素的预测得分实现了AUROC为0.732,用于识别严重的TCH.
结论:
- 非动脉瘤性TCH经常伴有严重的潜在疾病.
- 经验证的临床预测得分可以帮助临床医生识别高风险的TCH患者.
- 对于患有潜在严重TCH的患者来说,早期识别和进一步调查至关重要.
相关概念视频
Seizures: Classification
307
Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
307
Panic Disorder
50
Panic disorder is an anxiety disorder characterized by recurrent and sudden minutes-long episodes of intense fear, known as panic attacks. These attacks may feel like heart attacks and often happen without warning or a specific cause. They can include symptoms such as rapid heart rate, shortness of breath, chest pain, trembling, sweating, dizziness, and a sense of helplessness. During a panic attack, individuals may feel as though they are experiencing a heart attack or are in a...
50
Attention-Deficit/Hyperactivity Disorder
50
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
50
Post-traumatic Stress Disorder
30
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
30
Measurement of Blood Pressure
892
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
892
Disturbances in Heart Rhythm
916
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
916


