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.
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.
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.
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