当输血导致头痛欲裂时：输血相关可逆性脑血管收缩综合征的病例报告和快速回顾。

IF 2.5 3区医学 Q2 HEMATOLOGY

Transfusion Pub Date : 2024-11-01 Epub Date: 2024-08-14 DOI:10.1111/trf.17984

Bobbie Pelham-Webb, Yin Guo, Alejandra Ramirez, Evan Waldron, Valentina Emmanuele, Wendy Vargas, Justine Kahn, Elizabeth F Stone

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引用次数: 0

摘要

可逆性脑血管收缩综合征（RCVS）是一种罕见且研究不足的输血反应，最常见于成年女性在纠正慢性严重贫血后发生的输血反应。输血相关 RCVS（TA-RCVS）通常在输注红细胞后一周内出现雷鸣般的头痛和一种或多种全身症状（高血压、恶心/呕吐）或神经系统症状（癫痫发作、中风、视力改变）。RCVS 的治疗以控制血压为基础；最近的一项研究表明，早期使用尼莫地平可缩短病程。

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When transfusion causes a splitting headache: A case report and rapid review of transfusion-associated reversible cerebral vasoconstriction syndrome.

Reversible cerebral vasoconstriction syndrome (RCVS) is a rare and understudied transfusion reaction most commonly seen in adult females after correction of chronic, severe anemia. Transfusion-associated RCVS (TA-RCVS) typically presents with thunderclap headaches and one or more systemic (hypertension, nausea/vomiting) or neurologic (seizure, stroke, visual changes) symptoms within a week after red blood cell transfusion. Treatment of RCVS is based on blood pressure control; a recent study suggested that early use of nimodipine could shorten the disease course.

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来源期刊

Transfusion 医学-血液学

CiteScore

4.70

自引率

20.70%

发文量

426

审稿时长

1 months

期刊介绍： TRANSFUSION is the foremost publication in the world for new information regarding transfusion medicine. Written by and for members of AABB and other health-care workers, TRANSFUSION reports on the latest technical advances, discusses opposing viewpoints regarding controversial issues, and presents key conference proceedings. In addition to blood banking and transfusion medicine topics, TRANSFUSION presents submissions concerning patient blood management, tissue transplantation and hematopoietic, cellular, and gene therapies.