慢性硬膜下血肿后缺血性卒中:一种常见疾病的罕见并发症

Debajyoti Datta, Debarshi Chatterjee
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引用次数: 0

摘要

背景慢性硬膜下血肿(CSDH)是一种常见的神经外科疾病,尤其是在老年人中,特别是那些抗血小板或抗凝治疗并有轻微创伤的患者。虽然抗凝剂/抗血小板会增加CSDH患者再出血的机会,但停药可能会增加这些患者中风的风险。病例描述:我们报告了两例有危险因素的老年患者在手术后发生缺血性卒中的CSDH。第一个病例是一位有经皮冠状动脉介入治疗史的老年绅士,表现为CSDH。术后立即发生脑前动脉梗死。第二位患者是一位有高血压病史的老年绅士,伴有左侧丘脑梗死和大面积左侧CSDH。术后立即发生对侧第二脑中动脉梗死。结论:卒中预防用药,即抗血小板和抗凝药物是CSDH发生的易感因素。然而,这些患者的围手术期仍然容易发展为新发缺血性脑卒中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ischaemic Stroke After Chronic Subdural Haematoma: An Uncommon Complication in a Common Disease
Background Chronic subdural haematoma (CSDH) is a common neurosurgical disease, particularly among the elderly, especially those on antiplatelet or anticoagulation with trivial trauma. While anticoagulants/antiplatelets increase the chance of rebleeding in cases of CSDH, discontinuation may increase the risk of stroke in these patients. Case Description: We report two cases of CSDH in elderly patients with risk factors who suffered from an ischaemic stroke after undergoing surgery. The first case was an elderly gentleman who had a history of percutaneous coronary intervention, presenting with a CSDH. He developed an anterior cerebral artery infarct in the immediate postoperative period. The second was an elderly gentleman with a history of hypertension presenting with a concomitant left thalamic infarct and large left-sided CSDH. He developed a second middle cerebral artery infarct of the opposite side in the immediate postoperative period. Conclusion: The medications used for stroke prophylaxis, that is, antiplatelets and anticoagulants are predisposing factors for the development of CSDH. However, the perioperative period of these patients remains vulnerable to the development of new-onset ischaemic stroke.
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