脑卒中内血管血栓切除术相关的甲状腺下腺体高密度:发病率,预测因素和拟议的子分类
Zeev Itsekzon-Hayosh1,2, Federico Carpani3, Eef J Hendriks4
1Division of Neuroradiology, University Medical Imaging and Joint Department of Medical Imaging, Toronto Western Hospital, University Health Network, 399 Bathurst St, Toronto, ON, M5T 2S8, Canada. zeev.itsekzonhayosh@uhn.ca.
Neuroradiology
|January 8, 2025
概括
血管内血栓切除术后的脑下关节高密度 (SAH) 可能是暂时的或持久的. 过渡性和持久性SAH与良好的结果相关,不同于SAH与脑内出血.
科学领域:
- 神经学 神经学
- 干预性神经辐射学
- 脑卒中医学 脑卒中医学
背景情况:
- 副arachnoid高密度 (SAH) 是内血管血栓切除术 (EVT) 后的一个已知的并发症.
- 后EVTSAH的临床意义和自然史仍然不完全理解.
- 这项研究调查了影响SAH流行和程度的因素,包括阻塞部位和抗血栓使用.
研究的目的:
- 为了分类血栓切除术后的SAH亚型.
- 阐明不同SAH呈现的临床意义和自然史.
- 为了确定EVT后SAH亚型的预测因素.
主要方法:
- 从2016年1月至2021年2月接受EVT治疗的急性中风患者的回顾性分析.
- 纳入标准:在手术后24小时内进行CT扫描.
- 数据分析的重点是SAH流行,特征和结果.
主要成果:
- 在394名EVT患者中,SAH观察到18.3%的患者.
- 持久性SAH (10.7%) 和短暂的SAH (2.6%) 与良好的结果有关.
- 带有脑内出血的SAH (2%) 与年龄较大,心脏病发作较大,使用支架恢复器和部分再通道化有关.
结论:
- 建议对血栓切除术后的SAH亚型进行单独的分类.
- 讨论了病理生理机制和暂时性,持续性和SAH + ICH的预测因素.
- 了解这些亚型对于管理EVT后的患者至关重要.
相关概念视频
Stroke: Introduction and Types
A stroke is an acute neurological event caused by the sudden disruption of cerebral blood flow, leading to rapid loss of neuronal function. Neurons depend on continuous oxygen and glucose supply, so even brief interruptions can cause irreversible injury within minutes. Strokes are classified into ischemic and hemorrhagic types.Ischemic StrokeIschemic strokes are most common and occur due to arterial occlusion, depriving brain tissue of oxygen and nutrients. This leads to energy failure, ionic...
Ischemic Stroke l: Introduction
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.
Ischemic Stroke ll: Pathophysiology
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...
Hemorrhagic Stroke l: Introduction
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...
Hemorrhagic Stroke ll: Pathophysiology
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...


