与持续性动脉静脉相关的发作:对病例的系统性审查
Léa Proulx-Chartier1, Ève Parenteau1, Jimmy Li2
1Faculty of Medicine, Université de Sherbrooke, 2500 Bd de l'Université, Sherbrooke, QC J1K 2R1, Canada.
Epilepsy research
|March 1, 2025
概括
持续性动脉静脉 (DAVFs) 可以导致发作,特别是具有皮层静脉反流的攻击性类型. 血管造影干预为受影响的患者提供了一条夺取自由的途径.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 血管神经学 血管神经学
背景情况:
- 持续性动脉静脉 (DAVFs) 是不常见的发作原因.
- 了解其临床表现,诊断和治疗对于治疗至关重要.
研究的目的:
- 系统地审查与DAVF相关的发作病例.
- 描述临床特征,诊断结果,管理策略和预后.
- 提高对DAVFs作为的可治疗原因的认识.
主要方法:
- 在PROSPERO注册的系统审查 (CRD42024529316).
- 在OVID MEDLINE,Embase,Web of Science和Google Scholar中搜索了案例报告/系列.
- 包括报告至少两个结果类别的研究;评估方法质量.
主要成果:
- 包括来自94篇文章的120名患者;中位数年龄57岁,70%男性.
- 头痛 (22%) 是常见的并发症;状态发生在38%.
- 大多数DAVF是左半球,涉及横侧鼻,皮质静脉逆流 (93%) 和攻击性特征.
结论:
- DAVFs是可治疗发作的潜在原因,特别是带有皮质静脉逆流的侵略性形式.
- 血管造影干预是有效的在实现的自由.
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