ia臨床概念的進展黃一寧-全文預(yù)覽
【正文】 A Working Group Transient Ischemic Attack — Proposal for a New Definition，NEJM 2022, Volume 347:17131716 組織定義 TIA ?短暫發(fā)作的神經(jīng)功能缺失，沒有持續(xù)的腦實質(zhì)改變 Saver JL, Kidwell CS. Magic resonance imaging in transient ischemic attacks: clinical utility and insights into pathophysiology. In: Davis SA, Fisher M, Warach S, eds. Magic Resonance Imaging in Cerebrovascular Disease. New York, NY: Cambridge University Press. In press. Albers GW, Caplan LR, Easton JD, Fayad PB, Mohr JP, Saver JL, Sherman DG, for the TIA Working Group. Transient ischemic attack: proposal for a new definition. New Engl J Med. 2022。34(4):932 什么是真正的 TIA ？ 時間定義 ?短暫性的、可逆的、局部的腦血液循環(huán)障礙，癥狀和體征在 24小時內(nèi)完全消失。 and c, baseline T2weighted image. 眩暈、左手笨 6小時后癥狀消失 Figure 2. Several foci of left cerebellar DWI and ADC abnormality in a patient presenting with 6 hours of vertigo and leftarm clumsiness. Other slices (not shown) also showed foci of right cerebellar DWI abnormality. Followup MRI at 3 months did not show corresponding late ischemic changes on T1 or T2weighted images. a, DWI image。 b, ADC image。 and d, late (followup) T2wei
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