脑底异常血管网症血流重建术后并发脑高灌注综合征的危险因素  

Risk factors for cerebral hyperperfusion syndrome after revascularization surgery in patients with moyamoya disease

作　　者：吴明洪 徐海涛[1] 黄书岚[1] WU Ming-hong;XU Hai-tao;HUANG Shu-lan(Department of Neurosurgery,Renmin Hospital of Wuhan University,Wuhan 430060,China)

机构地区：[1]武汉大学人民医院神经外科,武汉430060

出　　处：《中国临床神经外科杂志》2024年第8期495-498,共4页Chinese Journal of Clinical Neurosurgery

摘　　要：脑底异常血管网症,又称为烟雾病,是一种以颈内动脉末端进行性狭窄或闭塞和颅底异常烟雾状血管网形成为特征的慢性脑血管病。颅内外脑血流重建术是目前治疗烟雾病的有效手段,脑高灌注综合征是术后引起神经系统症状的重要并发症。然而,脑高灌注综合征的病理生理机制和危险因素尚未阐明,目前还没有系统的研究总结烟雾病血流重建术后脑高灌注综合征的危险因素。本文就烟雾病脑血流重建术后并发脑高灌注综合征的危险因素进行综述。Cerebrobasilar rete mirabile disease,also known as Moyamoya disease,is a chronic cerebrovascular disorder characterized by progressive stenosis or occlusion of the terminal part of the internal carotid artery and the formation of abnormal smoke-like vascular networks at the base of the skull.Extracranial-intracranial bypass is currently an effective treatment for Moyamoya disease.Cerebral hyperperfusion syndrome is a significant complication that causes neurological symptoms after the operation.Nevertheless,the pathophysiological mechanism and risk factors of cerebral hyperperfusion syndrome remain unclear,and there is no systematic research summarizing the risk factors of cerebral hyperperfusion syndrome after revascularization for Moyamoya disease.This article reviews the risk factors of cerebral hyperperfusion syndrome after extracranial-intracranial bypass for Moyamoya disease.

关 键 词：脑底异常血管网症 烟雾病 颅内外脑血流重建术 脑高灌注综合征 

分 类 号：R743[医药卫生—神经病学与精神病学] R651.11[医药卫生—临床医学]