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脑气栓塞和多聚焦性缺血性中风在氧气臭氧疗法:一个案例报告
Sepehr Khosravi1,2, Zahra Mirzaasgari1
1Department of Neurology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
BMJ neurology open
|December 25, 2024
概括
治疗背部疼痛的氧气臭氧疗法 (OOT) 可以导致严重的并发症,如脑气栓塞和中风. 这一案例凸显了OOT的风险,特别是与潜在的心脏疾病相关的风险,强调了需要仔细选择和监测患者的必要性.
科学领域:
- 神经学 神经学
- 干预性放射学 干预性放射学
- 血管医学 血管医学
背景情况:
- 缺血性中风通常是由血管或心脏问题的血栓引起的.
- 非血栓栓栓塞性中风很罕见,但与医疗程序越来越相关.
- 氧气臭氧治疗 (OOT) 用于腰椎间盘,但存在气栓塞的风险.
研究的目的:
- 在OOT期间报告脑气栓塞和缺血性中风病例.
- 突出OOT的潜在危险,特别是在心脏异常患者中.
- 提高临床医生对OOT相关神经系统并发症的认识.
主要方法:
- 一个58岁妇女在OOT期间经历中风症状的案例研究.
- 诊断成像包括脑部的CT和MRI.
- 心声造影,以评估心脏短路.
主要成果:
- 患者在OOT期间出现了急性四肢衰弱和言语障碍.
- 脑部成像显示多次脑气栓塞和缺血性病变.
- 鉴定出了一种圆孔,这表明了悖论性栓塞的途径.
- 患者在一年后显著改善.
结论:
- 动脉脑气栓塞是OOT的潜在风险.
- 心脏内缺陷,如 patent foramen ovale,增加了悖论性栓塞和神经复杂症的风险.
- 临床医生应考虑在干预后出现中风的患者中发生气栓塞,特别是在OOT后.
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