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大动脉炎中风病因的诊断方法

Diagnostic Approach for Stroke Etiology in Takayasu Arteritis.

作者信息

Yilmaz Furkan M, Shaikh Hamza, Then Ryna

机构信息

Neurocritical Care, The Ohio State University Wexner Medical Center, Columbus, USA.

Neurosurgery and Radiology, Cooper University Hospital, Camden, USA.

出版信息

Cureus. 2020 Jun 1;12(6):e8394. doi: 10.7759/cureus.8394.

DOI:10.7759/cureus.8394
PMID:32637276
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7331896/
Abstract

Takayasu arteritis (TA) is a rare inflammatory arteritis that is usually affecting young women and causes ischemic changes in the vessel wall. In this report of TA leading to an acute ischemic stroke, we describe a treatment-resistant case, with short interval flares and the challenge of defining the stroke etiology as a large vessel occlusive disease vs. an arteritis flare. We have used CT and MRI modalities to show the active disease and got diagnostic answers from this tool.

摘要

高安动脉炎(TA)是一种罕见的炎症性动脉炎,通常影响年轻女性,并导致血管壁缺血性改变。在这份关于TA导致急性缺血性卒中的报告中,我们描述了一个治疗抵抗的病例,其发作间隔短,且在将卒中病因确定为大血管闭塞性疾病与动脉炎发作方面存在挑战。我们使用CT和MRI检查方式来显示活动性疾病,并从该检查手段中获得了诊断结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aa4/7331896/943b59adeaf7/cureus-0012-00000008394-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aa4/7331896/1be3824cd882/cureus-0012-00000008394-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aa4/7331896/efbdba7568bc/cureus-0012-00000008394-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aa4/7331896/24e5e9f4734e/cureus-0012-00000008394-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aa4/7331896/9e623c20bf39/cureus-0012-00000008394-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aa4/7331896/943b59adeaf7/cureus-0012-00000008394-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aa4/7331896/1be3824cd882/cureus-0012-00000008394-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aa4/7331896/efbdba7568bc/cureus-0012-00000008394-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aa4/7331896/24e5e9f4734e/cureus-0012-00000008394-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aa4/7331896/9e623c20bf39/cureus-0012-00000008394-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aa4/7331896/943b59adeaf7/cureus-0012-00000008394-i05.jpg

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Diagnostic Approach for Stroke Etiology in Takayasu Arteritis.大动脉炎中风病因的诊断方法
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[Takayasu arteritis: a French single centre experience].[高安动脉炎:法国单中心经验]
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引用本文的文献

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Ischemic stroke as the first clinical manifestation of an initially undiagnosed case of Takayasu arteritis in a young woman from Ethiopia: A case report.一名来自埃塞俄比亚的年轻女性最初未被诊断出患有高安动脉炎,缺血性中风为其首发临床表现:病例报告。
SAGE Open Med Case Rep. 2024 Apr 6;12:2050313X241241190. doi: 10.1177/2050313X241241190. eCollection 2024.

本文引用的文献

1
Cerebrovascular events in Takayasu arteritis: a multicenter case-controlled study.多发性大动脉炎的脑血管事件:一项多中心病例对照研究。
J Neurol. 2018 Apr;265(4):757-763. doi: 10.1007/s00415-018-8744-8. Epub 2018 Feb 1.
2
Contrast-enhanced ultrasonography in Takayasu arteritis: watching and monitoring the arterial inflammation.超声造影在大动脉炎中的应用:观察和监测动脉炎症
BMJ Case Rep. 2015 Oct 9;2015:bcr2015211094. doi: 10.1136/bcr-2015-211094.
3
Assessment of disease activity and progression in Takayasu's arteritis.大动脉炎疾病活动度和进展的评估。
Clin Exp Rheumatol. 2011 Jan-Feb;29(1 Suppl 64):S86-91. Epub 2011 May 11.
4
Takayasu arteritis--advances in diagnosis and management.Takayasu 动脉炎——诊断和治疗的进展。
Nat Rev Rheumatol. 2010 Jul;6(7):406-15. doi: 10.1038/nrrheum.2010.82.