癌症相关非细菌性血栓性内心炎中缺血性中风的拓:一个单一机构描述性的病例系列
Carlee I Oakley1, Ewa M Wysokinska2, Alicja Kaminska2
1Department of Neurology, Mayo Clinic, Rochester, MN, USA.
概括
与癌症相关的非细菌性血栓性内心炎 (Ca-NBTE) 通常会导致广泛的,不同大小的缺血性中风,影响大脑半球和血液循环. 虽然多焦点性中风很常见,但单个或局部性心脏病发作也可能发生.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 在瘤学瘤学.
背景情况:
- 有限的数据存在于与癌症相关的非细菌性血栓性内心炎 (Ca-NBTE) 中的中风模式.
- 患有Ca-NBTE的患者可能呈现出不同大小的特征性,广泛分布的缺血性病变.
研究的目的:
- 为了研究Ca-NBTE患者中风的地形特征.
- 分析与Ca-NBTE相关的缺血病变的模式和位置.
主要方法:
- 从2002年3月到2022年6月的梅奥诊所记录的电子搜索.
- 对脑磁共振成像 (MRI) 进行手动审查,以确定Ca-NBTE患者中风特征.
主要成果:
- 在112名Ca-NBTE患者中,有92人患有中风;84人有可分析的MRI.
- 82%的人在两个大脑半球中发生了中风,通常涉及前后循环.
- 传播性中风 (类型IV) 是最常见的 (68%),经常发生在中脑动脉和后脑动脉区域,小脑.
结论:
- Ca-NBTE通常与多焦点,双半球性缺血性中风有关,影响不同大小和两种循环.
- 孤独性心脏病发作或仅限于单一区域的心脏病发作也可能是Ca-NBTE的表现.
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