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儿童动脉缺血性脑卒中。

Arterial ischemic stroke in children.

机构信息

Division of Interventional Neuroradiology and Cranial Base Surgery, Departments of Radiology, Neurosurgery, and Otolaryngology, University of Michigan Health System, UH B1D 328, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5030, USA.

出版信息

Neuroimaging Clin N Am. 2013 Nov;23(4):781-98. doi: 10.1016/j.nic.2013.03.019. Epub 2013 May 31.

DOI:10.1016/j.nic.2013.03.019
PMID:24156865
Abstract

Acute ischemic stroke affects 3.3 of 100,000 children per year. The causes of AIS in children can be broadly divided into the following 6 categories: cardiac disese, sickle cell disease, moyamoya, arterial dissection, other arteriopathies, and other causes. Approximately 24% of the cases are classified as idiopathic. Magnetic resonance imaging (MRI) and cerebral angiography play an important role in the determining the causes of an AIS in children. Medical approaches, including anticoagulation, anti-inflammatories, and antiplatelet therapies, surgical revascularization and endovascular approaches may have a role in the management of AIS in children.

摘要

每年每 10 万人中就有 3.3 人患有急性缺血性脑卒中。儿童急性缺血性脑卒中的病因大致可分为以下 6 类:心脏疾病、镰状细胞病、烟雾病、动脉夹层、其他血管病变和其他原因。约 24%的病例被归类为特发性。磁共振成像(MRI)和脑血管造影在确定儿童急性缺血性脑卒中的病因方面发挥着重要作用。医疗方法,包括抗凝、抗炎和抗血小板治疗,以及手术血运重建和血管内治疗,可能在儿童急性缺血性脑卒中的治疗中发挥作用。

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