带有密码性中风的圆孔专利:一个案例报告
Dhruvil Vinaybhai Patel1, Chandan Alenahalli Narayana2, Rachana Harish2
1Depatrment of Neurology, GMERS Medical College Gandhinagar, Gandhinagar, Gujarat 382012, India.
Medicine international
|December 3, 2024
概括
在年轻患者中, patent foramen ovale (PFO) 可以导致中风. 这份病例报告显示,通过PFO关闭成功治疗,导致14岁儿童的神经恢复.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 儿科 儿科 儿科
背景情况:
- 卵孔 (PFO) 是一种常见的先天性心脏缺陷.
- PFO可能是密码性中风的原因,特别是在没有传统风险因素的年轻人中.
研究的目的:
- 报告一名年轻患者的密码性中风病例,该病例归因于PFO.
- 突出考虑PFO在儿科患者中风病因学的重要性.
- 强调多学科方法和皮肤间PFO关闭的好处.
主要方法:
- 一个14岁的男性患有急性缺血性中风的案例介绍.
- 诊断成像用于通过PFO识别右向左的分路.
- 用双重抗血小板疗法和皮肤间PFO闭合治疗.
- 在手术后6个月评估神经恢复情况.
主要成果:
- 通过PFO显著的右到左的分流被确定为中风的可能原因.
- 患者经历了成功的皮肤穿PFO关闭.
- 在干预后6个月后,观察到显著的神经恢复.
结论:
- 应评估PFO作为年轻患者密码性中风的潜在原因.
- 及时的干预,包括皮肤间PFO关闭,可以预防复发性中风事件.
- 多学科的方法对于有效地管理这些案件至关重要.
相关概念视频
Aneurysm II: Clinical Manifestations and Diagnostic Studies
592
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
592
Ischemic Stroke l: Introduction
53
Ischemic stroke is an acute cerebrovascular condition in which blood flow to a brain region is suddenly interrupted, leading to tissue infarction. Neurons depend on continuous oxygen and glucose supply, so even brief reductions in perfusion cause energy failure, ionic imbalance, and irreversible injury. Ischemic strokes are classified into thrombotic and embolic types based on their underlying mechanisms.Thrombotic MechanismsThrombotic stroke develops when a clot forms within a cerebral artery.
53
Ischemic Stroke ll: Pathophysiology
68
An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...
68
Hemorrhagic Stroke l: Introduction
34
A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
34
Hemorrhagic Stroke ll: Pathophysiology
52
A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
52
Transient Ischemic Attack l: Introduction
34
A transient ischemic attack (TIA) is a brief episode of neurological dysfunction caused by a temporary, focal reduction in cerebral blood flow. Although symptoms resemble those of an ischemic stroke, the interruption in perfusion is short-lived and does not cause permanent infarction. TIAs are clinically important because they often serve as early warning events for future stroke.Mechanisms of Transient Cerebral IschemiaTransient cerebral ischemia may arise through several mechanisms. One...
34


