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血液细胞紊乱与神经系统

Blood Cell Disorders and the Nervous System.

出版信息

Continuum (Minneap Minn). 2020 Jun;26(3):659-674. doi: 10.1212/CON.0000000000000858.

Abstract

PURPOSE OF REVIEW

This article discusses the epidemiology, diagnosis, treatment, and prevention of neurologic complications of common and rare blood cell disorders.

RECENT FINDINGS

A growing number of preventive treatment options are available for stroke in sickle cell disease. Paroxysmal nocturnal hemoglobinuria and immune thrombocytopenia can lead to stroke. Thrombotic thrombocytopenic purpura frequently causes neurologic symptoms and should be considered in the differential diagnosis of a patient with neurologic symptoms, thrombocytopenia, and hemolytic anemia. Polycythemia vera and essential thrombocythemia are rare causes of stroke.

SUMMARY

This article discusses sickle cell disease and the most recent advances in stroke preventive therapy as well as neurologic complications of paroxysmal nocturnal hemoglobinuria, immune thrombocytopenia, thrombotic thrombocytopenic purpura, polycythemia vera, and essential thrombocythemia.

摘要

目的综述

本文讨论了常见和罕见血细胞疾病的神经并发症的流行病学、诊断、治疗和预防。

最新发现

镰状细胞病中越来越多的预防治疗选择可用于预防中风。阵发性夜间血红蛋白尿症和免疫性血小板减少症可导致中风。血栓性血小板减少性紫癜常引起神经系统症状,应在有神经系统症状、血小板减少和溶血性贫血的患者鉴别诊断中考虑到这一点。真性红细胞增多症和原发性血小板增多症是中风的罕见病因。

总结

本文讨论了镰状细胞病以及预防中风治疗的最新进展,还讨论了阵发性夜间血红蛋白尿症、免疫性血小板减少症、血栓性血小板减少性紫癜、真性红细胞增多症和原发性血小板增多症的神经并发症。

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