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基底动脉血栓形成继发后循环卒中,预后不良。

Posterior Circulation Stroke Secondary to Basilar Artery Thrombosis With a Fatal Outcome.

作者信息

Umalkar Gajanan N, Chavan Gajanan, Gadkari Charuta, Wanjari Mayur B

机构信息

Department of Emergency Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Department of Research and Development, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 Jan 24;15(1):e34146. doi: 10.7759/cureus.34146. eCollection 2023 Jan.

DOI:10.7759/cureus.34146
PMID:36843706
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9949746/
Abstract

Stroke is a regularly encountered emergency by emergency physicians, categorized based on the culprit artery and diagnosed based on non-contrast computerized tomography (CT) brain, which is supported by clinical examination that can be treated intravenously by thrombolytic agents or mechanical thrombectomy. Here we present one such case, which was brought to the emergency room with symptoms of posterior circulation stroke within 8 hours and underwent mechanical thrombectomy.

摘要

中风是急诊医生经常遇到的急症,根据责任动脉进行分类,并通过非增强计算机断层扫描(CT)脑部检查进行诊断,临床检查也可辅助诊断,对于此类病症可通过静脉注射溶栓药物或进行机械取栓治疗。在此,我们呈现这样一个病例,该患者在8小时内出现后循环中风症状并被送往急诊室,随后接受了机械取栓治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd40/9949746/875baa951b57/cureus-0015-00000034146-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd40/9949746/8e3ef356066a/cureus-0015-00000034146-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd40/9949746/67e779104c1a/cureus-0015-00000034146-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd40/9949746/875baa951b57/cureus-0015-00000034146-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd40/9949746/8e3ef356066a/cureus-0015-00000034146-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd40/9949746/67e779104c1a/cureus-0015-00000034146-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd40/9949746/875baa951b57/cureus-0015-00000034146-i03.jpg

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本文引用的文献

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Basilar Artery Occlusion (BAO) revascularization after more than 12 hours from the onset of symptoms with excellent outcome: Report of a case.症状出现超过12小时后基底动脉闭塞(BAO)再血管化且预后良好:一例报告
Radiol Case Rep. 2022 Feb 17;17(4):1300-1304. doi: 10.1016/j.radcr.2022.01.064. eCollection 2022 Apr.
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Results of a multicentre, randomised controlled trial of intra-arterial urokinase in the treatment of acute posterior circulation ischaemic stroke.动脉内注射尿激酶治疗急性后循环缺血性卒中的多中心随机对照试验结果
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