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年轻女性口服避孕药与中风:临床病理相关性

Oral contraceptives and stroke in young women: a clinicopathologic correlation.

作者信息

Irey N S, McAllister H A, Henry J M

出版信息

Neurology. 1978 Dec;28(12):1216-9. doi: 10.1212/wnl.28.12.1216.

DOI:10.1212/wnl.28.12.1216
PMID:569780
Abstract

Pathologic studies of women with fatal cerebrovascular disease who have received oral contraceptives are infrequently found in the literature. Three cases of this type are reported here. The pathologic findings included an intrinsic vascular lesion in the form of intimal hyperplasia with and without associated thrombosis, found in arteries supplying the brain. Similar vascular lesions have been reported previously in other sites of the vascular system in association with exogenous or endogenous steroids. They have also been found in other species under the influence of steroids. This hyperplasia of vessel intima may be found in association with other clinicopathologic entities, but stigmata of other diseases were not found in these three patients.

摘要

文献中很少能找到接受口服避孕药的致命性脑血管疾病女性的病理研究。本文报告了3例此类病例。病理结果包括在供应脑部的动脉中发现内膜增生形式的内在血管病变,伴有或不伴有相关血栓形成。先前在血管系统的其他部位也曾报道过与外源性或内源性类固醇相关的类似血管病变。在类固醇影响下的其他物种中也发现过此类病变。这种血管内膜增生可能与其他临床病理实体相关,但这3例患者未发现其他疾病的特征。

相似文献

1
Oral contraceptives and stroke in young women: a clinicopathologic correlation.年轻女性口服避孕药与中风:临床病理相关性
Neurology. 1978 Dec;28(12):1216-9. doi: 10.1212/wnl.28.12.1216.
2
Fibromuscular hyperplasia of internal carotid arteries. Stroke in a young adult complicated by oral contraceptives.颈内动脉纤维肌性增生。一名年轻成年人因口服避孕药引发中风。
Arch Neurol. 1971 Oct;25(4):295-301. doi: 10.1001/archneur.1971.00490040021002.
3
[Incidence of cerebrovascular lesions in users of oral contraceptives].[口服避孕药使用者脑血管病变的发生率]
Cesk Neurol Neurochir. 1981 Mar;44(2):116-20.
4
[Ovulation inhibitors from a neurological viewpoint].[从神经学角度看排卵抑制剂]
Schweiz Med Wochenschr. 1976 May;106(19):644-7.
5
[Neuro-ophthalmologic accidents caused by hormonal contraception].[激素避孕导致的神经眼科意外]
Bull Mem Soc Fr Ophtalmol. 1978;90:261-7.
6
[Arterial complications of estrogen-progestogen contraception].[雌激素-孕激素避孕的动脉并发症]
Ann Med Interne (Paris). 1983;134(5):416-20.
7
[The importance of risk factors in cerebrovascular processes while taking oral contraceptives (author's transl)].口服避孕药时脑血管病变中危险因素的重要性(作者译)
MMW Munch Med Wochenschr. 1977 Dec 2;119(48):1557-60.
8
[Thromboembolic attacks in the central nervous system and P-pills].[中枢神经系统的血栓栓塞性发作与紧急避孕药]
Ugeskr Laeger. 1982 Sep 20;144(38):2769-72.
9
[Pathology of the hormonal contraceptive agents].
Pathologica. 1976 Jul-Aug;68(981-982):279-90.
10
Focal nodular hyperplasia of the liver and contraceptive steroids.肝脏局灶性结节性增生与避孕类固醇
Acta Hepatogastroenterol (Stuttg). 1978 Aug;25(4):319-21.

引用本文的文献

1
Carotid Web: An Update Focusing on Its Relationship With Fibromuscular Dysplasia and Therapeutic Strategy.颈动脉嵴:聚焦于其与纤维肌发育不良的关系及治疗策略的最新进展
J Stroke. 2025 May;27(2):169-183. doi: 10.5853/jos.2025.00626. Epub 2025 May 31.
2
The carotid web: Current research status and imaging features.颈动脉膜:当前研究现状及影像学特征
Front Neurosci. 2023 Feb 13;17:1104212. doi: 10.3389/fnins.2023.1104212. eCollection 2023.
3
A Rare Case of Carotid Web Presenting with Ischemic Stroke in a Young Woman and a Brief Review of the Literature.
一名年轻女性因颈动脉蹼导致缺血性卒中的罕见病例及文献综述
Case Rep Med. 2018 Feb 19;2018:3195679. doi: 10.1155/2018/3195679. eCollection 2018.
4
Occlusive vascular diseases in oral contraceptive users. Epidemiology, pathology and mechanisms.口服避孕药使用者的闭塞性血管疾病。流行病学、病理学及发病机制。
Drugs. 2000 Oct;60(4):721-869. doi: 10.2165/00003495-200060040-00003.
5
Neuromorphology and neuropharmacology of the human penis: an in vitro study.人类阴茎的神经形态学与神经药理学:一项体外研究
J Clin Invest. 1980 Feb;65(2):506-13. doi: 10.1172/JCI109694.
6
Cerebral arterial occlusion and intracranial venous thrombosis in a woman taking oral contraceptives.一名服用口服避孕药的女性发生脑动脉闭塞和颅内静脉血栓形成。
Postgrad Med J. 1984 Jun;60(704):426-8. doi: 10.1136/pgmj.60.704.426.
7
Drug-induced neurological disorders.药物性神经障碍
Drugs. 1983 Aug;26(2):124-47. doi: 10.2165/00003495-198326020-00002.