[西洛他唑对抗凝剂治疗期间的囊状警告综合征有效:病例报告]。

Q4 Medicine
Clinical Neurology Pub Date : 2024-03-22 Epub Date: 2024-02-17 DOI:10.5692/clinicalneurol.cn-001927
Ayane Kawatake, Hiroyuki Kawano, Yuko Honda, Yoshiko Unno, Teruyuki Hirano
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引用次数: 0

摘要

一位 88 岁的女性患者因右侧偏瘫和失语入住我院,她患有心房颤动。MRA 显示左侧大脑中动脉 M2 闭塞。静脉注射 rt-PA 后,她的症状有所改善。她被诊断为心源性栓塞性脑卒中,并接受了直接口服抗凝治疗。然而,在中风一周后,她又反复出现刻板的一过性右侧偏瘫。她的症状被认为是囊肿警告综合征(CWS)。使用西洛他唑后,她的一过性神经系统症状没有再恶化。CWS 可与急性心源性栓塞性脑卒中并存,而西洛他唑是有效的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Cilostazol was effective for capsular warning syndrome during anticoagulant therapy: a case report].

An 88-year-old woman with atrial fibrillation was admitted to our hospital due to the right hemiplegia and aphasia. MRA shows the left middle cerebral artery M2 occlusion. After intravenous rt-PA, her symptoms improved. She was diagnosed with cardioembolic stroke, and was treated with direct oral anticoagulation therapy. However, she had repeated stereotypical transient right hemiparesis a week after index stroke. Her symptoms were considered capsular warning syndrome (CWS). After cilostazol was administered, no further transient neurological deteriorations occurred. CWS can coexist with acute cardioembolic stroke, and cilostazol was effective.

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来源期刊
Clinical Neurology
Clinical Neurology Medicine-Neurology (clinical)
CiteScore
0.30
自引率
0.00%
发文量
147
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