Gao Guangzu, Zucconi Rebecca L, Zucconi William B
Department of Radiology and Biomedical Imaging, Yale Diagnostic Radiology, Yale School of Medicine, 20 York Street, PO Box 208042, New Haven, CT 06520-8042, USA.
Department of Medical Sciences, Frank H Netter MD School of Medicine, Quinnipiac University, 275 Mount Carmel Avenue, Hamden, CT 06518-1905, USA.
Neuroimaging Clin N Am. 2018 Aug;28(3):419-433. doi: 10.1016/j.nic.2018.03.005.
Acute neurologic emergencies in pregnancy often require neuroimaging to guide diagnosis and treatment. Implementation of a patient-centered care model in radiology can alleviate a patient's stress, reinforce appropriate imaging workup, improve patient satisfaction, and lead to improved outcomes. The authors present the evaluation, differential diagnosis, and recommended imaging protocols for the three most common acute neurologic symptoms in pregnancy and the postpartum period: headache, seizure, and focal neurologic deficits. With the patient's symptoms as a reference point, the referring physician in consultation with the radiologist can effectively implement the optimal imaging procedures.
妊娠期急性神经系统急症通常需要神经影像学检查来指导诊断和治疗。在放射科实施以患者为中心的护理模式可以减轻患者的压力，加强适当的影像学检查流程，提高患者满意度，并带来更好的治疗效果。作者介绍了妊娠期和产后最常见的三种急性神经系统症状（头痛、癫痫发作和局灶性神经功能缺损）的评估、鉴别诊断及推荐的影像学检查方案。以患者的症状为参考点，转诊医生与放射科医生协商后可以有效地实施最佳的影像学检查程序。
