多重脑内动脉瘤同时栓塞后的对比诱导脑病:一个病例报告和管理
Hilmiye Tokmak1, Ferhat Gelmez2, Ahmet Yabalak2
1Department of Neurology, Niğde Eğitim ve Araştırma Hastanesi, Niğde, TUR.
Cureus
|March 17, 2026
概括
对比引起的脑病变 (CIE) 是对比介质的罕见并发症. 在血管造影期间和之后对神经变化的警监测至关重要,即使对比度体积小.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
背景情况:
- 对比引起的脑病变 (CIE) 是一种与对比介质相关的罕见不良事件.
- 在涉及对比剂的手术期间或之后,神经系统并发症可能会发生.
研究的目的:
- 在接受脑血管造影的患者中报告对比诱导脑病变的病例.
- 强调监测血管造影后神经变化的重要性.
主要方法:
- 一个70岁的老妇人的病例报告.
- 诊断性脑血管造影,用于动脉狭窄.
- 临床观察和计算机断层扫描 (CT) 扫描.
主要成果:
- 患者在血管造影期间经历过渡性昏昏欲睡.
- 在手术后出现了全身性性-克隆性发作.
- CT显示了对比度泄漏,证实了CIE诊断.
结论:
- 即使在较小的对比体积下,也可能发生CIE.
- 在血管造影过程中和之后,密切的神经监测是必不可少的.
- 迅速识别和诊断CIE至关重要.
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