在患有莫亚莫亚动脉病变的儿童中模仿中风
Ariana J Andere1, Jasmin Dao2, Amy A Gelfand3
1School of Medicine University of California San Francisco San Francisco CA United States.
Stroke (Hoboken, N.J.)
|January 26, 2026
概括
伴随性疾病,如头痛和焦虑,可模仿中风症状的儿童与moyamoya动脉病变,导致医疗保健使用增加. 识别这些中风模仿者是管理相关疾病的关键.
科学领域:
- 儿科神经学 儿科神经学
- 神经血管疾病 神经血管疾病
背景情况:
- 儿童的Moyamoya动脉病变可能会出现类似于中风的症状.
- 这些中风模仿的医疗保健利用情况尚不清楚.
研究的目的:
- 为了描述中风的发病率和医疗保健使用,在儿科中模仿莫亚莫亚动脉病变.
- 为了识别导致中风的并发性疾病,模仿中风的表现.
主要方法:
- 对32名患有莫亚莫亚综合征/疾病的儿童 (<18岁) 的回顾性评估 (2007-2021年).
- 抽象的数据包括头痛,焦虑和功能神经系统疾病.
- 被归因于并发性疾病的遭遇,如果症状导致访问和中风不存在.
主要成果:
- 31%的患者经历了中风模仿,导致33次急诊和9次住院.
- 头痛 (81%),焦虑 (53%) 和功能神经系统疾病 (6%) 是常见的并发症.
- 具有功能神经系统疾病的患者也患有偏头痛和焦虑症.
结论:
- 头痛,焦虑和功能神经系统疾病经常模仿儿童中风.
- 这些模仿者对医疗保健资源利用做出了重大贡献.
- 早期识别中风模仿者可以指导对伴随疾病的管理.
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