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没有中风的双重打击:产后头痛的原因太多了.

Marialuisa Zedde1, Ilaria Grisendi2, Federica Assenza2

  • 1Neurology Unit, Stroke Unit, Azienda Unità Sanitaria Locale-IRCCS di Reggio Emilia, Via Amendola 2, Reggio Emilia, 42122, Italy. zedde.marialuisa@ausl.re.it.

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概括

产后女性经历头痛可能同时患有脑血管疾病,如脑静脉血栓症 (CVT) 和大脑动脉解剖. 及时的神经成像对于诊断这些罕见但严重的疾病至关重要.

关键词:
继续就业培训 (CVT) 是一种持续就业培训.大脑静脉血栓形成的原因酒后驾驶 酒后驾驶 酒后驾驶扩散加权成像技术的使用.剖析 剖析 分解在分娩后的分娩.一次性中风,中风.

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科学领域:

  • 神经学 神经学
  • 血管医学 血管医学
  • 产科 产科 产科 产科 产科

背景情况:

  • 怀孕和产后显著提高静脉和动脉两侧的血栓形成风险.
  • 脑血管疾病,包括脑静脉血栓症 (CVT) 和动脉剖析,可以在这些高风险时期发生.

研究的目的:

  • 在产后期报告一种罕见的同时进行CVT和动脉剖析的病例.
  • 要突出诊断挑战和神经成像发现的同时发生的脑血管事件.

主要方法:

  • 一个年轻妇女在她的第三个怀孕的案例介绍.
  • 使用脑电脑断层扫描 (CT) 与CT血管扫描以及脑磁共振成像 (MRI) 与MR血管扫描.
  • 启动了用于抗凝血的氨酸治疗.

主要成果:

  • 诊断为同时发生急性CVT和左动脉剖析,没有中风的证据.
  • 神经成像证实了这两种脑血管疾病的急性时间.
  • 肝素治疗后临床症状迅速消失.

结论:

  • 产后期的头痛应该引起对CVT的怀疑,即使没有中风.
  • 同时出现的急性脑血管疾病可能同时出现,需要进行彻底的神经成像检查.
  • DWI-MRI对于诊断和定时并发性血栓事件特别有价值.