在未破裂的内动脉瘤的流量转移后头痛
Zeev Itsekson-Hayosh1, Andrew Falzon1, Hugo Andrade Barazarte2
1Division of Neuroradiology, University Medical Imaging and Joint Department of Medical Imaging, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada.
World neurosurgery
|May 15, 2025
概括
在治疗后的头痛后,对于17%的患者发生了用于内动脉瘤的流量转移支架放置. 这种常见的良性副作用与动脉瘤的大小和位置有关,在一年内消失.
科学领域:
- 神经外科 神经外科
- 干预神经病学 干预神经病学
- 血管神经学 血管神经学
背景情况:
- 在未破裂的内动脉瘤 (UIA) 治疗流量转移支架 (FDS) 后的头痛报告不足.
- 关于这些头痛的患病率,临床相关性和自然过程的数据有限.
- 这项研究量化了头痛的患病率,并确定了相关的风险因素.
研究的目的:
- 为了确定UIAsFDS治疗后头痛的患病率.
- 描述临床过程并确定这些头痛的危险因素.
- 为了比较头痛发生率与动脉瘤卷积.
主要方法:
- 一项前性机构数据库审查确定了141名为UIAs (2015-2021) 用FDS治疗的患者,随访时间≥2年.
- 分析了患者病历和临床笔记,以检测术后头痛.
- 88名接受动脉瘤卷积治疗的患者的对照组也接受了类似的评估.
主要成果:
- 17% (24/141) 的患者在FDS后出现了新的头痛,其特征是半,全或回轨.
- 头痛最常见的是状,状和洞腔动脉瘤.
- 风险因素包括较大的动脉瘤大小 (13毫米±5.4),年龄较大 (65±14),双支架结构 (HR 3.8) 和支架穿过硬膜 (62.5%) 或硬膜环 (87.5%).
- 头痛是良性的,并在一年内消失.
- 只有3.4%的患者报告了类似的头痛.
结论:
- 后FDS头痛是前循环动脉瘤的一个常见 (17%) 的不良事件,不同于卷积 (3.4%).
- 这种现象是短暂的,良性的,与动脉瘤大小,体内靠近,双支架使用和年龄较大有关.
- 脑膜刺激被假设为原因;建议患者对这种潜在的副作用进行教育.
更多相关视频
11:58Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
15.5K
09:14Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model
Published on: June 18, 2021
2.3K
相关概念视频
Arteries of the Head and Neck
1.1K
The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
1.1K
The Arch of Aorta
604
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
604
Veins of Head and Neck
1.6K
The blood drainage from the head and neck is primarily managed by three pairs of veins: the external jugular, internal jugular, and vertebral veins. The external jugular veins drain superficial scalp and face structures, passing over the sternocleidomastoid muscles to empty into the subclavian veins.
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
1.6K
Angle Closure Glaucoma: Treatment
454
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
454
