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題 名 | 急性缺血性腦中風自發腦血流再灌通的致死性腦水腫一病例報告=Late Fatal Deteriorating Brain Edema after Spontaneous Reperfusion Injury in Acute Ischemic Stroke--A Case Report |
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作 者 | 陳珮昀; 翁文章; | 書刊名 | 中華民國重症醫學雜誌 |
卷 期 | 3:2 2001.04[民90.04] |
頁 次 | 頁121-128 |
分類號 | 415.922 |
關鍵詞 | 再灌流; 腦水腫; 神經超音波; 腦梗塞; Reperfusion; Brain edema; Neurosonology; Cerebral infarction; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:急性缺血性中風的病人,其堵塞的腦血管若在晚期再灌流可能造成大範圍甚至致死的腦水腫,再灌流的證據可使用頸動脈超音波及經顱超音波偵測。 病例之病史:一位80歲的老先生在2000年9月24日突然間產生左側肢體無力及口齒不清的現象。病人過去有心律不整的病史,懷疑是病竇症候群及陣發性心房顫動,並規則在門診追蹤治療。在病人症狀發生2小時後檢查的腦部電腦斷層並無顯示不正常之發現。2天後之腦部磁振造影顯示商側中大腦動脈區域的腦梗塞,合併輕微的腦出血。同日檢查的頸動脈超音波及經顱超音波顯示雙側之顱內血管均是通暢的,僅在右側的中大腦動脈有輕微血流速度減低的現象。兩周後,病人的意識狀況逐漸惡化,腦部斷層掃描顯示腦水腫合併嚴重的出血,使用多種降腦壓的藥物仍無法改善病人的神智。病人在病狀發生後第21天因為大腦鐮下疝脫及鉤瘧脫死亡。 結論:經顱超音波對於早期偵測堵塞性腦中共之再灌流是一很好的工具。進一步需研究有關因再灌流所造成的持續惡化腦損傷的預防及治療之道。 |
英文摘要 | Background: Late reperfusion of an occluded vessel may promote massive and even fatal cerebral edema in acute ischemic stroke. Carotid duplex and transcranial Doppler (TCD) ultrasound can easily detect evidence of reperfusion. Case report: The 80 years old man suffered from sudden onset of left side weakness and slurring speech on Sep. 24, 2000. He had past history of ischemic heart disease and cardiac arrhythmia (paroxysmal atria fibrillation). Computed tomogram (CT) 2 hours after symptoms onset showed no abnormal finding. Brain magnetic resonance image (MRI) 2 days later showed right middle cerebral artery (MCAAA) territory infraction with mild hemorrhagic transformation. Carotid Duplex and TCD on the 3rd day showed patency of bilateral extracanial and intracranial vessels but only slightly decreased right MCA flow velocities. Deterioration of consciousness was noted two weeks later and brain CT showed severe brain edema with prefunded hemorrhage. Anti-edema agents were given but in vain. The patient expired on the 21st day after onset of symptoms due to subfalcine and uncal herniation. Conclusions: Transcranial Doppler ultrasound is a good tool for early detection of reperfusion of occluded cerebral vessels. Further studies are necessary to prevent and management of the deteriorating reperfusion cerebral injury. |
本系統中英文摘要資訊取自各篇刊載內容。