• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

再灌注后对侧缺血性卒中复发的罕见病例:通过及时血栓切除术成功治疗

A Rare Case of Contralateral Ischemic Stroke Recurrence Post-Reperfusion: Successful Management Through Timely Thrombectomy.

作者信息

Althobaiti Faisal, Alkhatib Ahmad, Alharbi Naif, Alwadai Mohammed, Alqarni Ali, Allebdi Khalid

机构信息

Neurology, King Fahad General Hospital, Jeddah, SAU.

Medicine and Surgery, University of Jeddah, Jeddah, SAU.

出版信息

Cureus. 2024 Feb 23;16(2):e54788. doi: 10.7759/cureus.54788. eCollection 2024 Feb.

DOI:10.7759/cureus.54788
PMID:38405641
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10891310/
Abstract

Stroke is a predominant contributor to global mortality and disability and represents a complex and heterogeneous disease characterized by diverse risk factors and clinical presentations. The likelihood of stroke patients being at risk of a second stroke within the first five years is higher, especially within the initial two weeks. The distressing prospect of experiencing recurrent stroke shortly after reperfusion therapy adds an additional layer of complexity, potentially reversing prior progress. In the present case, we describe a patient who experienced a recurrent stroke within 24 hours, affecting the contralateral middle cerebral artery (MCA). This recurrence occurred after the individual underwent thrombolysis therapy for the initial stroke, emphasizing the intricate challenges associated with managing such cases and the imperative for targeted interventions to mitigate further risks and enhance patient outcomes.

摘要

中风是全球死亡率和残疾率的主要促成因素,是一种复杂的异质性疾病,具有多种风险因素和临床表现。中风患者在头五年内发生二次中风的风险较高,尤其是在最初两周内。再灌注治疗后不久就经历复发性中风的令人痛苦的前景增加了额外的复杂性,可能会逆转之前的进展。在本病例中,我们描述了一名在24小时内发生复发性中风的患者,累及对侧大脑中动脉(MCA)。这种复发发生在该患者因初次中风接受溶栓治疗之后,强调了处理此类病例所面临的复杂挑战,以及采取有针对性干预措施以降低进一步风险和改善患者预后的紧迫性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceaa/10891310/44a57e3f2a8b/cureus-0016-00000054788-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceaa/10891310/c4afcd91fc33/cureus-0016-00000054788-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceaa/10891310/829ffce0359e/cureus-0016-00000054788-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceaa/10891310/3c0b4c6f27bf/cureus-0016-00000054788-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceaa/10891310/44a57e3f2a8b/cureus-0016-00000054788-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceaa/10891310/c4afcd91fc33/cureus-0016-00000054788-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceaa/10891310/829ffce0359e/cureus-0016-00000054788-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceaa/10891310/3c0b4c6f27bf/cureus-0016-00000054788-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceaa/10891310/44a57e3f2a8b/cureus-0016-00000054788-i04.jpg

相似文献

1
A Rare Case of Contralateral Ischemic Stroke Recurrence Post-Reperfusion: Successful Management Through Timely Thrombectomy.再灌注后对侧缺血性卒中复发的罕见病例:通过及时血栓切除术成功治疗
Cureus. 2024 Feb 23;16(2):e54788. doi: 10.7759/cureus.54788. eCollection 2024 Feb.
2
Management of acute ischemic stroke due to tandem occlusion: should endovascular recanalization of the extracranial or intracranial occlusive lesion be done first?串联闭塞所致急性缺血性卒中的管理:颅外或颅内闭塞病变的血管内再通应先进行哪一个?
Neurosurg Focus. 2017 Apr;42(4):E16. doi: 10.3171/2017.1.FOCUS16500.
3
Reversible CT Scan Hypodensity in Acute Ischemic Stroke Patient With Low Initial Alberta Stroke Program Early CT Score (ASPECTS) Following Endovascular Thrombectomy: A Case Report.血管内血栓切除术治疗后初始阿尔伯塔卒中项目早期CT评分(ASPECTS)较低的急性缺血性卒中患者的可逆性CT扫描低密度:一例报告
Cureus. 2023 Mar 15;15(3):e36194. doi: 10.7759/cureus.36194. eCollection 2023 Mar.
4
Predictors of mortality in acute ischemic stroke treated with endovascular thrombectomy despite successful reperfusion: subgroup analysis of a multicentre randomised clinical trial.血管内血栓切除术治疗成功再灌注后的急性缺血性卒中患者的死亡率预测因素:一项多中心随机临床试验的亚组分析。
BMJ Open. 2022 Mar 1;12(3):e053765. doi: 10.1136/bmjopen-2021-053765.
5
Revascularization of tandem occlusions in acute ischemic stroke: review of the literature and illustrative case.急性缺血性卒中串联闭塞的血管再通:文献综述及病例展示
Neurosurg Focus. 2017 Apr;42(4):E15. doi: 10.3171/2017.1.FOCUS16521.
6
A direct aspiration first-pass technique vs stentriever thrombectomy in emergent large vessel intracranial occlusions.直接抽吸首过技术与支架取栓术治疗急性大血管颅内闭塞。
J Neurosurg. 2018 Feb;128(2):567-574. doi: 10.3171/2016.11.JNS161563. Epub 2017 Apr 14.
7
Endovascular thrombectomy for basilar artery occlusion stroke: Analysis of the German Stroke Registry-Endovascular Treatment.基底动脉闭塞性卒中的血管内血栓切除术:德国卒中登记-血管内治疗分析
Eur J Neurol. 2023 May;30(5):1293-1302. doi: 10.1111/ene.15694. Epub 2023 Feb 22.
8
Follow-up neutrophil-lymphocyte ratio after stroke thrombectomy is an independent biomarker of clinical outcome.卒中取栓术后中性粒细胞与淋巴细胞比值的随访是临床结局的独立生物标志物。
J Neurointerv Surg. 2021 Jul;13(7):609-613. doi: 10.1136/neurintsurg-2020-016342. Epub 2020 Aug 6.
9
Safety, effectiveness, and practicality of endovascular therapy within the first 3 hours of acute ischemic stroke onset.急性缺血性卒中发病后3小时内血管内治疗的安全性、有效性和实用性。
Neurosurgery. 2009 Nov;65(5):860-5; discussion 865. doi: 10.1227/01.NEU.0000358953.19069.E5.
10
Reperfusion by endovascular thrombectomy and early cerebral edema in anterior circulation stroke: Results from the SITS-International Stroke Thrombectomy Registry.血管内血栓切除术再灌注和前循环卒中的早期脑水肿:来自 SITS-国际卒中取栓登记研究的结果。
Int J Stroke. 2023 Dec;18(10):1193-1201. doi: 10.1177/17474930231180451. Epub 2023 Jun 17.

引用本文的文献

1
Three episodes of basilar tip occlusion necessitating thrombectomies and a vertebral artery sacrifice in a patient with subclavian artery dissection distal to the vertebral artery origin: a case report.一名患者在椎动脉起始部远端发生锁骨下动脉夹层,出现三次基底动脉尖闭塞,需行血栓切除术并牺牲一条椎动脉:病例报告
AME Case Rep. 2024 Oct 11;9:6. doi: 10.21037/acr-24-46. eCollection 2025.

本文引用的文献

1
Repeated Mechanical Endovascular Thrombectomy for Recurrent Large Vessel Occlusion: A Multicenter Experience.复发性大血管闭塞的重复机械性血管内血栓切除术:一项多中心经验。
Stroke. 2021 Jun;52(6):1967-1973. doi: 10.1161/STROKEAHA.120.033393. Epub 2021 Apr 29.
2
[Embolic stroke of undetermined source (ESUS) - Classification of a new stroke entity].[不明来源栓塞性卒中(ESUS)——一种新的卒中类型的分类]
Dtsch Med Wochenschr. 2021 Mar;146(6):403-409. doi: 10.1055/a-1309-8701. Epub 2021 Mar 18.
3
Consensus statements and recommendations from the ESO-Karolinska Stroke Update Conference, Stockholm 11-13 November 2018.
2018年11月11日至13日于斯德哥尔摩举行的欧洲卒中组织-卡罗林斯卡卒中最新进展会议的共识声明与建议
Eur Stroke J. 2019 Dec;4(4):307-317. doi: 10.1177/2396987319863606. Epub 2019 Sep 2.
4
Response by Powers and Rabinstein to Letter Regarding Article, "2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association".鲍尔斯和拉宾斯坦对关于文章《2018急性缺血性卒中患者早期管理指南:美国心脏协会/美国卒中协会给医疗专业人员的指南》的信件的回复
Stroke. 2019 Sep;50(9):e277-e278. doi: 10.1161/STROKEAHA.119.026917. Epub 2019 Aug 8.
5
Safety and Efficacy of Repeated Thrombolysis with Alteplase in Early Recurrent Ischemic Stroke: A Systematic Review.早期复发性缺血性卒中中重复使用阿替普酶溶栓的安全性和疗效:系统评价。
J Stroke Cerebrovasc Dis. 2019 Oct;28(10):104290. doi: 10.1016/j.jstrokecerebrovasdis.2019.07.006. Epub 2019 Jul 29.
6
European Stroke Organisation (ESO) - European Society for Minimally Invasive Neurological Therapy (ESMINT) Guidelines on Mechanical Thrombectomy in Acute Ischaemic StrokeEndorsed by Stroke Alliance for Europe (SAFE).欧洲卒中组织(ESO)-欧洲微创神经治疗学会(ESMINT)急性缺血性卒中机械取栓指南,由欧洲卒中联盟(SAFE)认可。
Eur Stroke J. 2019 Mar;4(1):6-12. doi: 10.1177/2396987319832140. Epub 2019 Feb 26.
7
Effects of centralizing acute stroke services: A prospective cohort study.集中急性脑卒中服务的效果:一项前瞻性队列研究。
Neurology. 2018 Jul 17;91(3):e236-e248. doi: 10.1212/WNL.0000000000005822. Epub 2018 Jun 15.
8
Repeated Mechanical Thrombectomy in Recurrent Large Vessel Occlusion Acute Ischemic Stroke.复发性大血管闭塞性急性缺血性卒中的重复机械取栓术
Interv Neurol. 2017 Mar;6(1-2):1-7. doi: 10.1159/000447754. Epub 2016 Sep 9.
9
The Oxfordshire Community Stroke Project classification system predicts clinical outcomes following intravenous thrombolysis: a prospective cohort study.牛津郡社区卒中项目分类系统可预测静脉溶栓后的临床结局:一项前瞻性队列研究。
Ther Clin Risk Manag. 2016 Jun 29;12:1049-56. doi: 10.2147/TCRM.S107053. eCollection 2016.
10
Repeated Intravenous Thrombolysis for Early Recurrent Stroke: Challenging the Exclusion Criterion.早期复发性卒中的重复静脉溶栓治疗:对排除标准提出挑战。
Stroke. 2016 Aug;47(8):2133-5. doi: 10.1161/STROKEAHA.116.013599. Epub 2016 Jun 30.