在慢性腹膜下血瘤患者中,中脑膜动脉栓塞后头痛的缓解
James Feghali1, Jiwon Moon1, Crystal X Wang1
1Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
概括
中脑膜动脉栓塞 (MMAe) 显著改善慢性下皮质血瘤 (cSDH) 患者的头痛. 这种最少的侵入性治疗提供了很高的头痛解决率或改善,独立于血液瘤的特征.
科学领域:
- 神经外科 神经外科
- 干预性放射学 干预性放射学
- 神经学 神经学
背景情况:
- 头痛是常见的,但往往被忽视的,慢性亚皮血瘤 (cSDH) 患者的症状.
- 中脑膜动脉栓塞 (MMAe) 是cSDH的最小侵入性选择,但它对头痛的影响需要澄清.
研究的目的:
- 评估MMAe在缓解或改善cSDH患者头痛方面的疗效.
- 为了确定头痛结果是否与患者的人口统计学或血液瘤特征相关.
主要方法:
- 对经历MMAe的cSDH头痛患者进行了回顾性队列研究.
- 纳入标准:没有先前的手术,没有分流,格拉斯哥昏迷尺度>=14.
- 在手术后2-6周评估头痛状态.
主要成果:
- 90%的符合条件的患者 (n=30) 经历了头痛缓解 (70%) 或改善 (剩余的67%).
- 头痛结局与基线人口统计学,临床因素或血液瘤分辨率,厚度或中线转移没有显著关联.
- 没有报告任何程序并发症.
结论:
- 在cSDH患者中,MMAe与显著的短期头痛缓解有关.
- 这种益处似乎独立于血液瘤的大小或质量效应.
- 需要进一步的研究来探索MMAe的二次头痛和初级头痛综合征.
相关概念视频
Cranial and Spinal Meninges
4.1K
The cranial and spinal meninges are complex protective structures surrounding the central nervous system (CNS), consisting of the brain and spinal cord. These meninges consist of the dura mater, the arachnoid mater, and the pia mater. They protect the CNS, provide structural support, and aid in circulating cerebrospinal fluid (CSF).
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
4.1K
Pulmonary Embolism I: Introduction
746
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
746
Pulmonary Embolism III: Nursing Management
451
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
451
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
469
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
469
Chronic Pharyngitis
12.2K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
12.2K
Chromatographic Resolution
2.2K
In chromatography, a solute moves through a chromatographic column and tends to spread, forming a Gaussian-shaped band. The longer the solute spends in the column, the broader the band becomes. The broadening can lead to overlaps within the column, affecting separation effectiveness.
The effectiveness of separation can be evaluated by determining the level of separation between two neighboring peaks in a chromatogram, which represents the individual components of a sample.
In chromatography,...
The effectiveness of separation can be evaluated by determining the level of separation between two neighboring peaks in a chromatogram, which represents the individual components of a sample.
In chromatography,...
2.2K


