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一名患有新冠病毒病和儿童多系统炎症综合征的儿童急性缺血性中风的血栓切除术:病例分析与文献综述

Thrombectomy of an Acute Ischemic Stroke in a Child with COVID-19 and MIS-C: Case Analysis and Literature Context.

作者信息

Carney Paul R, Stevenson Dakota W, Riggs Edith, Dervisevic Matilda, Carney Constanza X, Gomez Camilo R

机构信息

Department of Child Health, University of Missouri School of Medicine, Columbia, MO 65201, USA.

Department of Neurology, University of Missouri School of Medicine, Colombia, MO 65212, USA.

出版信息

Children (Basel). 2023 May 9;10(5):851. doi: 10.3390/children10050851.

DOI:10.3390/children10050851
PMID:37238399
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10217304/
Abstract

We describe a very young child who developed an acute ischemic stroke from a LAO, while affected by COVID-19 and MIS-C, and whom we treated successfully with thrombectomy. We compare his clinical and imaging findings with those of the existing case reports, and we explore the multifactorial nature of such a neurovascular complication, particularly in the context of the most recent publications regarding the multifactorial endothelial derangements produced by the illness.

摘要

我们描述了一名非常年幼的儿童,他在感染新冠病毒和儿童多系统炎症综合征(MIS-C)期间,因左侧前循环梗死(LAO)发生了急性缺血性中风,我们成功地对其进行了血栓切除术治疗。我们将他的临床和影像学表现与现有病例报告进行了比较,并探讨了这种神经血管并发症的多因素性质,特别是在关于该疾病导致的多因素内皮紊乱的最新出版物的背景下。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3590/10217304/db8e606fd1de/children-10-00851-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3590/10217304/96869f9a63c8/children-10-00851-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3590/10217304/144531b266de/children-10-00851-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3590/10217304/657fff011bcf/children-10-00851-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3590/10217304/db8e606fd1de/children-10-00851-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3590/10217304/96869f9a63c8/children-10-00851-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3590/10217304/144531b266de/children-10-00851-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3590/10217304/657fff011bcf/children-10-00851-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3590/10217304/db8e606fd1de/children-10-00851-g004.jpg

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本文引用的文献

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Pediatric Sickle Cell Disease and Stroke: A Literature Review.小儿镰状细胞病与中风:文献综述
Cureus. 2023 Jan 20;15(1):e34003. doi: 10.7759/cureus.34003. eCollection 2023 Jan.
2
Changes in Distribution of Severe Neurologic Involvement in US Pediatric Inpatients With COVID-19 or Multisystem Inflammatory Syndrome in Children in 2021 vs 2020.2021 年与 2020 年相比,美国儿童住院患者中 COVID-19 或儿童多系统炎症综合征严重神经系统受累分布的变化。
JAMA Neurol. 2023 Jan 1;80(1):91-98. doi: 10.1001/jamaneurol.2022.3881.
3
Therapeutic Approaches to the Neurologic Manifestations of COVID-19.
治疗 COVID-19 神经系统表现的方法。
Neurotherapeutics. 2022 Sep;19(5):1435-1466. doi: 10.1007/s13311-022-01267-y. Epub 2022 Jul 21.
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Neurologic manifestations of COVID-19 in critically ill patients: results of the prospective multicenter registry PANDEMIC.COVID-19 危重症患者的神经表现:前瞻性多中心登记研究 PANDEMIC 的结果。
Crit Care. 2022 Jul 16;26(1):217. doi: 10.1186/s13054-022-04080-3.
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Stroke in pediatric ECMO patients: analysis of the National Inpatient Sample (NIS) database.小儿体外膜肺氧合患者的中风:国家住院患者样本数据库分析。
Pediatr Res. 2022 Sep;92(3):754-761. doi: 10.1038/s41390-022-02088-7. Epub 2022 May 3.
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Virchow's Triad and the Role of Thrombosis in COVID-Related Stroke.魏尔啸三联征及血栓形成在新冠相关卒中中的作用。
Front Physiol. 2021 Nov 10;12:769254. doi: 10.3389/fphys.2021.769254. eCollection 2021.
7
Acute Large Vessel Ischemic Stroke in Patients With COVID-19-Related Multisystem Inflammatory Syndrome.COVID-19 相关多系统炎症综合征患者的急性大血管闭塞性脑卒中。
Pediatr Neurol. 2022 Jan;126:104-107. doi: 10.1016/j.pediatrneurol.2021.09.013. Epub 2021 Sep 25.
8
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