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病例报告:最近COVID-19感染的背景下宫动脉剖析
Sanghee Lim1, Matthew M Rode2, Zafer Keser1
1Department of Neurology, Mayo Clinic, Rochester, MN, United States.
Frontiers in stroke
|January 16, 2026
概括
COVID-19感染可能会增加宫动脉解剖的风险,出现部疼痛和头痛. 抗血栓治疗在大多数患者中显示出积极的结果,有助于改善症状和成像.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 血管医学 血管医学
背景情况:
- 宫动脉剖析是脑缺血的一个已知的并发症.
- COVID-19和宫动脉剖析之间的联系尚未得到充分理解.
- 了解这种关系对于临床管理至关重要.
研究的目的:
- 在COVID-19患者的宫动脉剖析的特征.
- 详细介绍症状,成像发现和治疗反应.
- 通知临床医生关于这种潜在的并发症.
主要方法:
- 六名成年患者的回顾性病例系列.
- 在COVID-19感染后 (2021-2022) 诊断出宫动脉剖析的患者.
- 对呈现症状,成像和用抗血栓药物治疗的分析.
主要成果:
- 观察到四次内动脉剖析和两次双边脊椎动脉剖析.
- 常见的症状包括头痛和部疼痛.
- 一例病例在成像上显示出炎症的证据.
- 所有患者都接受了抗血小板药物或直接口服抗凝药.
结论:
- COVID-19可能会使个人倾向于自发的宫动脉剖析.
- 神经学表现不同,但严重的头痛/部疼痛是常见的.
- 抗血栓治疗通常导致症状和成像改善.
- 在COVID-19患有急性神经缺陷的患者中,宫动脉剖析的高临床怀疑是合理的.
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