育龄期女性的神经放射学
Neuroradiology in women of childbearing age.
作者信息
Bove Riley M, Klein Joshua P
出版信息
Continuum (Minneap Minn). 2014 Feb;20(1 Neurology of Pregnancy):23-41. doi: 10.1212/01.CON.0000443835.10508.2b.
PURPOSE OF REVIEW
This review summarizes safety concerns associated with diagnostic neuroimaging in patients who are of childbearing age, focusing on diagnostic modalities and radiologic features of neurologic conditions encountered by pregnant women.
RECENT FINDINGS
During pregnancy, women experience a range of physiologic changes that can affect neurologic function. These include endocrine, hemodynamic, endothelial, immunologic, and coagulopathic changes that can alter susceptibility to stroke, subarachnoid hemorrhage, demyelination, venous thrombosis, and other neurologic conditions. Unique safety concerns are associated with imaging procedures performed to diagnose neurologic conditions that occur during pregnancy.
SUMMARY
This review discusses the use of diagnostic neuroimaging, including administration of IV contrast, in pregnant women and in nonpregnant women of childbearing age.
综述目的
本综述总结了育龄期患者诊断性神经影像学检查相关的安全问题，重点关注孕妇所患神经系统疾病的诊断方式和放射学特征。
最新发现
孕期女性会经历一系列可影响神经功能的生理变化。这些变化包括内分泌、血流动力学、内皮、免疫和凝血方面的改变，可改变对中风、蛛网膜下腔出血、脱髓鞘、静脉血栓形成及其他神经系统疾病的易感性。孕期进行的用于诊断神经系统疾病的成像检查存在独特的安全问题。
总结
本综述讨论了诊断性神经影像学检查在孕妇和育龄期非孕妇中的应用，包括静脉注射造影剂的使用。
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