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一个罕见的挑战:一名进行性骨化性纤维发育不良合并急性缺血性卒中患者接受了机械取栓治疗。

A rare challenge: A patient with progressive fibrodysplasia ossificans and acute ischemic stroke treated with mechanical thrombectomy.

作者信息

Cruz-Culebras Antonio

机构信息

Stroke Unit, Department of Neurology, Hospital Universitario Ramon y Cajal, Madrid, Spain.

出版信息

eNeurologicalSci. 2023 Apr 1;31:100460. doi: 10.1016/j.ensci.2023.100460. eCollection 2023 Jun.

Abstract

Fibrodysplasia ossificans progressiva (FOP) is a rare, disabling genetic condition characterized by congenital malformations of the great toes and progressive heterotopic ossification. Here, we briefly describe the case of a 56-year-old male with known FOP and acute ischemic stroke that underwent mechanical thrombectomy with conscious sedation. Treating physicians should be aware of special medical considerations to prevent flare-ups and inflammation that result from any tissue injuries in this disease. Mechanical thrombectomy is a challenging scenario because general anesthesia and injections should be avoided in these patients. The treatment is still preventive and supportive, but this is the first report of the procedure in a patient with FOP.

摘要

进行性骨化性纤维发育不良(FOP)是一种罕见的、致残性遗传病,其特征为大脚趾先天性畸形和进行性异位骨化。在此,我们简要描述一例已知患有FOP的56岁男性急性缺血性卒中患者,该患者在清醒镇静下接受了机械取栓术。治疗医生应注意特殊的医学考量,以防止该病因任何组织损伤导致病情发作和炎症。机械取栓术是一个具有挑战性的情况,因为应避免在这些患者中使用全身麻醉和注射。治疗仍然是预防性和支持性的,但这是首次在FOP患者中进行该手术的报告。

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