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首页> 外文期刊>Current treatment options in cardiovascular medicine >Reversible cerebral vasoconstriction syndromes: What the cardiologist should know topical collection on cerebrovascular disease and stroke
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Reversible cerebral vasoconstriction syndromes: What the cardiologist should know topical collection on cerebrovascular disease and stroke

机译:可逆性脑血管收缩综合征:心脏病专家应了解脑血管疾病和中风的局部资料

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摘要

Over the past decade, the reversible cerebral vasoconstriction syndromes (RCVS) have emergedas a group of conditions with easily recognizable clinical-angiographic features and a usuallybenign prognosis. The RCVS affect young individuals, mostly women, and the majority presentwith recurrent, severe, ‘thunderclap’ headaches. Vascular imaging studies show dynamic andreversible narrowing and dilatation of multiple intracerebral arteries. Brain imaging usuallyshows no parenchymal lesions, however, approximately one-third of patients develop ischemicor hemorrhagic strokes or reversible brain edema. The etiopathogenesis of this syndrome remainsunclear. It has been associated with diverse conditions such as pregnancy, vasoconstrictivedrug use, and neurovascular procedures. Recent studies characterizing RCVS have made itrelatively easy to exclude mimics such as aneurysmal subarachnoid hemorrhage and primaryangiitis of the central nervous system.
机译:在过去的十年中,可逆性脑血管收缩综合征(RCVS)出现了一组易于识别的临床血管造影特征和通常良性的预后。 RCVS影响年轻人,大多数是女性,并且大多数人反复发作,严重,“雷声大”。血管成像研究显示多发性脑动脉动态可逆地变窄和扩张。脑部成像通常显示没有实质性病变,但是,大约三分之一的患者会出现缺血性或出血性中风或可逆性脑水肿。该综合征的病因尚不清楚。它已与多种情况相关,例如怀孕,使用血管收缩药和神经血管手术。 RCVS的最新研究使得相对较容易排除模拟物,如动脉瘤性蛛网膜下腔出血和中枢神经系统原发性血管炎。

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