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环孢素A诱导的颅内血栓形成并发症:系统评价与病例报告

Cyclosporine-A-Induced Intracranial Thrombotic Complications: Systematic Review and Cases Report.

作者信息

Song Si-Ying, Wang Zhong-Ao, Ding Yu-Chuan, Ji Xun-Ming, Meng Ran

机构信息

Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.

Advanced Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China.

出版信息

Front Neurol. 2021 Feb 11;11:563037. doi: 10.3389/fneur.2020.563037. eCollection 2020.

Abstract

This study reported two cases of intracranial thrombotic events of aplastic anemia (AA) under therapy with cyclosporine-A (CsA) and reviewed both drug-induced cerebral venous thrombosis (CVT) and CsA-related thrombotic events systematically. We searched PubMed Central (PMC) and EMBASE up to Sep 2019 for publications on drug-induced CVT and Cs-A-induced thrombotic events. Medical subject headings and Emtree headings were used with the following keywords: "cyclosporine-A" and "cerebral venous thrombosis OR cerebral vein thrombosis" and "stroke OR Brain Ischemia OR Brain Infarction OR cerebral infarction OR intracerebral hemorrhage OR intracranial hemorrhage." We found that CsA might be a significant risk factor in inducing not only CVT but also cerebral arterial thrombosis in patients with AA.

摘要

本研究报告了2例在接受环孢素A(CsA)治疗的再生障碍性贫血(AA)患者中发生的颅内血栓形成事件,并系统回顾了药物性脑静脉血栓形成(CVT)和与CsA相关的血栓形成事件。我们检索了截至2019年9月的PubMed Central(PMC)和EMBASE,以查找有关药物性CVT和CsA诱导的血栓形成事件的出版物。医学主题词和Emtree主题词与以下关键词一起使用:“环孢素A”、“脑静脉血栓形成或脑静脉血栓”、“中风或脑缺血或脑梗死或脑梗塞或脑出血或颅内出血”。我们发现,CsA可能是诱导AA患者不仅发生CVT而且发生脑动脉血栓形成的重要危险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e07/7906016/6f818a48a9ca/fneur-11-563037-g0001.jpg

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