Cruz-Culebras Antonio
Stroke Unit, Department of Neurology, Hospital Universitario Ramon y Cajal, Madrid, Spain.
eNeurologicalSci. 2023 Apr 1;31:100460. doi: 10.1016/j.ensci.2023.100460. eCollection 2023 Jun.
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.
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。