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癌症相关性缺血性卒中的流行病学、病理生理学及管理

Epidemiology, Pathophysiology, and Management of Cancer-Associated Ischemic Stroke.

作者信息

Ryan Dylan, Bou Dargham Tarek, Ikramuddin Salman, Shekhar Shashank, Sengupta Soma, Feng Wuwei

机构信息

Department of Neurology, Duke University School of Medicine, Durham, NC 27704, USA.

Department of Neurosurgery, The Preston Robert Tisch Brain Tumor Center, Duke University Medical Center, Durham, NC 27710, USA.

出版信息

Cancers (Basel). 2024 Nov 29;16(23):4016. doi: 10.3390/cancers16234016.

Abstract

Cancer and stroke are leading causes of global disability and mortality. With improvements in cancer-associated mortality and advancements in treatment of active malignancy, it is more common to encounter patients with ischemic stroke and active malignancy. Evidence suggests that cancer-associated ischemic stroke is a unique subtype of stroke; however, there is limited guidance when considering diagnostic workup, secondary prevention, rehabilitation, and future directions within this population. In this narrative review, we aim to describe the epidemiology, pathophysiological mechanisms, management, and future directions regarding understanding of cancer-associated ischemic stroke.

摘要

癌症和中风是导致全球残疾和死亡的主要原因。随着癌症相关死亡率的改善以及活动性恶性肿瘤治疗的进展,患有缺血性中风和活动性恶性肿瘤的患者越来越常见。有证据表明,癌症相关缺血性中风是中风的一种独特亚型;然而,在考虑该人群的诊断检查、二级预防、康复及未来方向时,指导意见有限。在这篇叙述性综述中,我们旨在描述有关癌症相关缺血性中风的流行病学、病理生理机制、管理及未来方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b09/11640599/c83d1cb4cd86/cancers-16-04016-g001.jpg

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