a Cerebrovascular Division, Department of Neurology , Hospital Universitari del Sagrat Cor, University of Barcelona , Barcelona , Catalonia , Spain.
b Department of Hematology , Hospital del Mar-IMIM , Barcelona , Catalonia , Spain.
Expert Rev Hematol. 2016 Sep;9(9):891-901. doi: 10.1080/17474086.2016.1208555. Epub 2016 Jul 11.
Hematological disorders account for about 1.3% of all causes of acute stroke. This systematized review presents updated information on the implications of this category of heterogeneous diseases as a cause of stroke.
The most relevant aspects of the relationship between stroke and hematological disorders are reported. A high index of suspicion is needed in young stroke patients, patients with recurrent stroke of undetermined cause, and in patients with prior history of venous thrombosis to identify a potential hematological disorder as the definitive etiology of stroke Expert commentary: Stroke can be the presenting manifestation of a specific hematological disease or may appear as a complication in the course of hematological disorders. It is important to make a correct diagnosis of the underlying hematological disorder in order to treat stroke patients promptly and appropriately as well as to establish the optimal secondary prevention strategy for recurrent vascular cerebral disease.
血液系统疾病约占所有急性卒中病因的 1.3%。本系统评价提供了此类异质性疾病作为卒中病因的最新信息。
报告了卒中与血液系统疾病之间关系的最相关方面。在年轻卒中患者、原因不明的复发性卒中患者和有静脉血栓形成既往史的患者中,需要高度怀疑是否存在潜在的血液系统疾病,以确定其是否为卒中的明确病因。
卒中可能是特定血液系统疾病的首发表现,也可能是血液系统疾病过程中的并发症。及时、恰当地治疗卒中患者以及为复发性血管性脑疾病制定最佳二级预防策略,都需要正确诊断潜在的血液系统疾病。