提高对血管内治疗后迟发性非缺血性脑增强病变的认识  

Strengthening the understanding of delayed onset of non-ischemic cerebral enhancing lesions after endovascular therapy

作　　者：钱海蓉[1] 范雪怡 李华[1] Qian Hai-rong;Fan Xue-yi;Li Hua(Department of Neurology,Chinese PLA General Hospital,Beijing 100853,China;Department of Clinical Medicine,School of Medicine,South China University of Technology,Guangzhou,Guangdong 510006,China)

机构地区：[1]中国人民解放军总医院神经内科医学部,北京100853 [2]华南理工大学医学院临床医学系,广东广州510006

出　　处：《中国现代医学杂志》2023年第10期1-6,共6页China Journal of Modern Medicine

基　　金：首都卫生发展科研专项(No:首发2020-2-5115)。

摘　　要：迟发性非缺血性脑增强(NICE)病变是颅内血管内治疗(EVT)后,尤其是动脉瘤栓塞术后的一种罕见并发症,主要累及EVT远端流域,具有复杂且较一致的影像学特征,临床表现多样,预后良好,但诊断困难,目前尚无统一的诊断治疗标准。该文阐述迟发性NICE病变的流行病学、发病机制、病理特征、临床影像特点及诊断治疗,以提高对该病的诊疗水平。Delayed onset of non-ischemic cerebral enhancing(NICE)lesions is a rare complication after endovascular therapy(EVT),especially after aneurysm embolization.The lesions are mainly distributed in the vascular regions distal to EVT.Delayed onset of NICE lesions exhibit complicated and homogenous imaging features with diverse clinical manifestations and good prognosis.However,it is difficult to be diagnosed and there has been no consensus on diagnostic and therapeutic strategies.This article describes the epidemiology,pathogenesis,pathological features,clinical and imaging characteristics,diagnosis and treatment of delayed onset of NICE lesions,so as to facilitate the diagnosis and treatment of the disease.

关 键 词：迟发性非缺血性脑增强 影像学 诊断 治疗 

分 类 号：R743.3[医药卫生—神经病学与精神病学]