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导致偏瘫的脑梗死:急性胰腺炎的一种罕见并发症。

Cerebral infarction leading to hemiplegia: A rare complication of acute pancreatitis.

作者信息

Vinod Kolar Vishwanath, Verma Shailendra Prasad, Karthikeyan Balasubramanian, Kishore Ariga, Dutta Tarun Kumar

机构信息

Department of General Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Dhanvantrinagar, Puducherry, India.

出版信息

Indian J Crit Care Med. 2013 Sep;17(5):308-10. doi: 10.4103/0972-5229.120325.

DOI:10.4103/0972-5229.120325
PMID:24339644
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3841495/
Abstract

Peripancreatic vascular thrombosis is a known complication of acute pancreatitis (AP) and chronic pancreatitis. However, hemiplegia resulting from cerebral infarction due to cerebral arterial thrombosis is a rare complication of AP. Here, we report a case of alcohol related severe AP with multi-organ dysfunction, which was complicated by large left sided middle cerebral artery territory infarct - leading to right sided hemiplegia in a 48-year-old male patient. The neurological and vascular thrombotic complications of pancreatitis, their pathogenesis and management are discussed in brief.

摘要

胰周血管血栓形成是急性胰腺炎(AP)和慢性胰腺炎的已知并发症。然而,脑动脉血栓形成导致脑梗死引起的偏瘫是AP的一种罕见并发症。在此,我们报告一例与酒精相关的重症AP伴多器官功能障碍的病例,该病例并发左侧大脑中动脉大片区域梗死,导致一名48岁男性患者出现右侧偏瘫。本文简要讨论了胰腺炎的神经和血管血栓形成并发症、其发病机制及处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097e/3841495/229c37463ef9/IJCCM-17-308-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097e/3841495/5e29b581c98e/IJCCM-17-308-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097e/3841495/4060b55f59e7/IJCCM-17-308-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097e/3841495/229c37463ef9/IJCCM-17-308-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097e/3841495/5e29b581c98e/IJCCM-17-308-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097e/3841495/4060b55f59e7/IJCCM-17-308-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097e/3841495/229c37463ef9/IJCCM-17-308-g003.jpg

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本文引用的文献

1
Arterio-pancreatic syndrome.动脉-胰腺综合征
Case Rep Gastroenterol. 2011 Jan;5(1):17-21. doi: 10.1159/000323734. Epub 2011 Jan 7.
2
Splanchnic vein thrombosis in severe acute pancreatitis: a 2-year, single-institution experience.严重急性胰腺炎中的内脏静脉血栓形成:一项为期 2 年的单机构经验。
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Front Endocrinol (Lausanne). 2022 Dec 1;13:960343. doi: 10.3389/fendo.2022.960343. eCollection 2022.
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Spinal Cord Ischemia Because of Microvascular Thrombosis in a Patient with Necrotizing Pancreatitis. Case Report and Literature Review.因坏死性胰腺炎导致微血管血栓形成引发的脊髓缺血。病例报告及文献复习。
Am J Case Rep. 2020 May 12;21:e923273. doi: 10.12659/AJCR.923273.
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Acute pancreatitis is a very rare comorbidity of acute ischemic stroke.急性胰腺炎是急性缺血性卒中一种非常罕见的合并症。
J Rural Med. 2018 May;13(1):72-75. doi: 10.2185/jrm.2956. Epub 2018 May 29.
JOP. 2008 Jul 10;9(4):512-4.
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Peripancreatic vascular abnormalities complicating acute pancreatitis: contrast-enhanced helical CT findings.急性胰腺炎并发胰周血管异常:螺旋CT增强扫描表现
Eur J Radiol. 2004 Oct;52(1):67-72. doi: 10.1016/j.ejrad.2003.10.006.
5
Vascular complications of pancreatitis.胰腺炎的血管并发症
JOP. 2004 Sep 10;5(5):328-37.
6
Cerebral fat embolism as a rare possible complication of traumatic pancreatitis.脑脂肪栓塞是创伤性胰腺炎一种罕见的可能并发症。
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