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灌注CT在急诊室鉴别疑似中风病例中的作用:一例伴有灌注CT改变的癫痫持续状态病例。

The role of perfusion CT in identifying stroke mimics in the emergency room: a case of status epilepticus presenting with perfusion CT alterations.

作者信息

Guerrero Waldo R, Dababneh Haitham, Eisenschenk Stephan

机构信息

Department of Neurology, College of Medicine, University of Florida, 1601 Archer Road Gainesville, 32610-0236 FL, USA.

出版信息

Int J Emerg Med. 2012 Jan 20;5(1):4. doi: 10.1186/1865-1380-5-4.

DOI:10.1186/1865-1380-5-4
PMID:22264341
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3271969/
Abstract

Emergency medicine physicians are often faced with the challenging task of differentiating true acute ischemic strokes from stroke mimics. We present a case that was initially diagnosed as acute stroke. However, perfusion CT and EEG eventually led to the final diagnosis of status epilepticus. This case further asserts the role of CT perfusion in the evaluation of patients with stroke mimics in the emergency room setting.

摘要

急诊医学医生常常面临着一项具有挑战性的任务,即区分真正的急性缺血性中风与类似中风的病症。我们介绍一个最初被诊断为急性中风的病例。然而,CT灌注成像和脑电图最终导致了癫痫持续状态的最终诊断。该病例进一步证实了CT灌注成像在急诊室环境中对疑似中风患者评估中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa64/3271969/e5e71a42a6af/1865-1380-5-4-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa64/3271969/e5e71a42a6af/1865-1380-5-4-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa64/3271969/e5e71a42a6af/1865-1380-5-4-1.jpg

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本文引用的文献

1
Stroke mimics and intravenous thrombolysis.中风模拟和静脉溶栓治疗。
Ann Emerg Med. 2012 Jan;59(1):27-32. doi: 10.1016/j.annemergmed.2011.09.011. Epub 2011 Oct 14.
2
Cortical regional hyperperfusion in nonconvulsive status epilepticus measured by dynamic brain perfusion CT.通过动态脑灌注CT测量非惊厥性癫痫持续状态下的皮质区域血流灌注增加
AJNR Am J Neuroradiol. 2009 Apr;30(4):693-8. doi: 10.3174/ajnr.A1456. Epub 2009 Feb 12.
3
Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke.急性缺血性卒中发病3至4.5小时后使用阿替普酶进行溶栓治疗。
Eur Radiol. 2018 May;28(5):1791-1800. doi: 10.1007/s00330-017-5174-4. Epub 2017 Dec 7.
N Engl J Med. 2008 Sep 25;359(13):1317-29. doi: 10.1056/NEJMoa0804656.
4
Local cortical hypoperfusion imaged with CT perfusion during postictal Todd's paresis.发作后托德麻痹期间CT灌注成像显示局部皮质灌注不足。
Neuroradiology. 2008 May;50(5):397-401. doi: 10.1007/s00234-008-0362-1.
5
Identification of nonischemic stroke mimics among 411 code strokes at the University of California, San Diego, Stroke Center.在加利福尼亚大学圣地亚哥分校卒中中心的411例卒中编码病例中鉴别非缺血性卒中模拟病例。
J Stroke Cerebrovasc Dis. 2008 Jan-Feb;17(1):23-5. doi: 10.1016/j.jstrokecerebrovasdis.2007.09.008.
6
Detection of regional blood perfusion changes in epileptic seizures with dynamic brain perfusion CT--a pilot study.动态脑灌注CT检测癫痫发作时局部脑血流灌注变化——一项初步研究
Epilepsy Res. 2006 Dec;72(2-3):102-10. doi: 10.1016/j.eplepsyres.2006.07.017. Epub 2006 Nov 21.
7
Diffusion-weighted magnetic resonance imaging versus computed tomography in the diagnosis of acute ischemic stroke.磁共振扩散加权成像与计算机断层扫描在急性缺血性脑卒中诊断中的比较
J Emerg Med. 2006 Oct;31(3):269-77. doi: 10.1016/j.jemermed.2005.10.003.
8
Continuous assessment of electrical epileptic activity in acute stroke.急性卒中时癫痫电活动的持续评估。
Neurology. 2006 Jul 11;67(1):99-104. doi: 10.1212/01.wnl.0000223361.90278.ca.
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Identification of penumbra and infarct in acute ischemic stroke using computed tomography perfusion-derived blood flow and blood volume measurements.使用计算机断层扫描灌注衍生的血流量和血容量测量来识别急性缺血性卒中的半暗带和梗死灶。
Stroke. 2006 Jul;37(7):1771-7. doi: 10.1161/01.STR.0000227243.96808.53. Epub 2006 Jun 8.
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