由用力、弯腰和打喷嚏诱发的与颈动脉狭窄相关的短暂性脑缺血发作。
Transient ischaemic attacks related to carotid stenosis precipitated by straining, bending, and sneezing.
作者信息
Harrison M J
机构信息
Middlesex Hospital, London, UK.
出版信息
Postgrad Med J. 1999 Mar;75(881):145-6. doi: 10.1136/pgmj.75.881.145.
Abstract
Three patients are described in whom one or more carotid territory transient ischaemic attacks (TIAs) were preceded by sneezing, straining, or bending over. It is argued that the mechanism involved dislodgment of embolic material from the site of carotid atheroma. This mechanism should be considered as an alternative to paradoxical embolism when TIAs are precipitated by such physiological manoeuvres. Furthermore, TIAs should be added to the list of medical hazards associated with such events.
摘要
本文描述了3例患者，他们在一次或多次颈动脉供血区短暂性脑缺血发作（TIA）之前出现了打喷嚏、用力或弯腰的情况。据认为，其机制是颈动脉粥样硬化部位的栓子物质发生脱落。当TIA由这些生理动作诱发时，该机制应被视为反常栓塞的一种替代解释。此外，TIA应被列入与此类事件相关的医学风险清单中。
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本文引用的文献
1
Effects of Valsalva's manoeuvre on the normal and failing circulation.瓦尔萨尔瓦动作对正常及衰竭循环系统的影响。
Br Med J. 1955 Mar 19;1(4915):693-5. doi: 10.1136/bmj.1.4915.693.
2
Phenochromocytoma--a survey of current concepts.嗜铬细胞瘤——当前概念综述
Henry Ford Hosp Med Bull. 1960 Jun;8:103-15.
3
How to prevent stroke recurrence in patients with patent foramen ovale: anticoagulants, antiaggregants, foramen closure, or nothing?卵圆孔未闭患者如何预防中风复发：使用抗凝剂、抗血小板药物、封堵卵圆孔，还是不采取任何措施？
Eur Neurol. 1997;37(4):199-204. doi: 10.1159/000117442.
4
Transient focal cerebral ischemia as a presenting manifestation of unruptured cerebral aneurysms.短暂性局灶性脑缺血作为未破裂脑动脉瘤的一种表现形式。
Ann Neurol. 1980 Oct;8(4):367-72. doi: 10.1002/ana.410080405.
5
Sneeze-induced hemiparesis.喷嚏诱发的偏瘫。
Ann Neurol. 1982 Jan;11(1):105-6. doi: 10.1002/ana.410110122.
6
Cough fracture of the ribs.肋骨咳嗽性骨折
Am J Emerg Med. 1984 Nov;2(6):513-7. doi: 10.1016/0735-6757(84)90077-9.
7
Mechanisms for reflexive hypertension induced by local application of capsaicin and nicotine to the nasal mucosa.局部应用辣椒素和尼古丁至鼻黏膜引起反射性高血压的机制。
Acta Physiol Scand. 1984 Jul;121(3):277-82. doi: 10.1111/j.1748-1716.1984.tb07457.x.
8
Potential sources of emboli in patients with presumed transient cerebral or retinal ischaemia.
Lancet. 1981 Feb 14;1(8216):343-6. doi: 10.1016/s0140-6736(81)91669-x.
9
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Am J Otolaryngol. 1985 Nov-Dec;6(6):468-70. doi: 10.1016/s0196-0709(85)80027-2.
10
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Chest. 1985 Feb;87(2):247-52. doi: 10.1378/chest.87.2.247.
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