可逆性脑血管收缩综合征的诊治进展

来源 :中风与神经疾病杂志 | 被引量 : 0次 | 上传用户:kcb2639
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可逆性脑血管收缩综合征( reversible cerebral vasocon-striction syndrome,RCVS)是一组发病原因不明的临床和放射学综合征,主要表现为霹雳样头痛( thunderclap headache, TCH)和可逆性脑动脉收缩.多种诱发因素参与的脑血管张力改变可能是发病的潜在机制.该病与多种疾病重叠,影像学检查可为该病诊断、鉴别诊断提供有力证据.大多数患者3m内能完全恢复,少部分患者会遗留相关神经功能缺损症状,极少数可能会死亡.本文就该病的临床表现、辅助检查、鉴别诊断及治疗等方面进行综述.
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