小结
定义
病史和体格检查
关键诊断因素
- 症状突然发作且持续时间短(数分钟)
- 患者/目击者报告局灶性神经功能缺损
其他诊断因素
- 单侧无力或麻痹
- 言语障碍
- 共济失调、眩晕或失去平衡
- 单眼突发一过性视力丧失(一过性黑矇)
- 同侧偏盲
- 复视
- 危险因素
危险因素
- 心房颤动
- 心瓣膜病
- 颈动脉狭窄
- 充血性心力衰竭
- 高血压
- 高脂血症
- 糖尿病
- 吸烟
- 酒精使用障碍
- 高龄
- 卵圆孔未闭(PFO)
- 缺乏运动
- 肥胖
- 高凝状态
诊断性检查
首要检查
- 血糖
- 全血细胞计数和血小板计数
- 凝血酶原时间、INR、部分凝血活酶时间
- 空腹血脂检查
- 血清电解质
- 心电图(ECG)
需考虑的检查
- CT 扫描
治疗流程
疑似短暂性脑缺血发作
确诊短暂性脑缺血发作
撰稿人
专家顾问
Matthew Jones, MD, FRCP
Consultant Neurologist
Greater Manchester Neurosciences Centre
Salford Royal Foundation Trust
Manchester
UK
简介
MJ is an honorary senior lecturer at the University of Manchester.
利益声明
MJ is the chair of the Association of British Neurologists Education Committee (unpaid position). MJ is a faculty member of an MRCP revision course.
Rachael Power, MBChB, MRCP
Neurology Registrar
Manchester Centre for Clinical Neurosciences
Manchester
UK
利益声明
RP has been sponsored by Novartis to attend the International Headache Conference.
鸣谢
BMJ Best Practice would like to gratefully acknowledge the previous team of expert contributors, whose work is retained in parts of the content:
Jennifer Simpson, MD
Associate Assistant Professor
Department of Neurology
University of Colorado School of Medicine
Denver
CO
Disclosures: JS is a site investigator for the POINT trial.
Ethan Cumbler, MD
Associate Professor
Section of Hospital Medicine
Department of Internal Medicine
Division of Medicine
University of Colorado School of Medicine
Denver
CO
Disclosures: EC declares that he has no competing interests.
同行评议者
Kayvan Khadjooi, MD, FRCP, PGCertMedEd
Consultant in Stroke Medicine
Addenbrooke’s Hospital
Associate Lecturer
School of Clinical Medicine
University of Cambridge
Cambridge
UK
利益声明
KK has received travel grants for conferences/speaker honoraria from Bayer, Boehringer, Daiichi-Sankyo, Pfizer, and Shire.
编辑
Helena Delgado-Cohen
Section Editor, BMJ Best Practice
利益声明
HDC declares that she has no competing interests.
Tannaz Aliabadi-Oglesby
Lead Section Editor, BMJ Best Practice
利益声明
TAO declares that she has no competing interests.
Susan Mayor
Lead Section Editor, BMJ Best Practice
利益声明
SM works as a freelance medical journalist and editor, video editorial director and presenter, and communications trainer. In this capacity, she has been paid, and continues to be paid, by a wide range of organisations for providing these skills on a professional basis. These include: NHS organisations, including the National Institute for Health and Care Excellence, NHS Choices, NHS Kidney Care, and others; publishers and medical education companies, including the BMJ Group, the Lancet group, Medscape, and others; professional organisations, including the British Thoracic Oncology Group, the European Society for Medical Oncology, the National Confidential Enquiry into Patient Outcome and Death, and others; charities and patients’ organisations, including the Roy Castle Lung Cancer Foundation and others; pharmaceutical companies, including Bayer, Boehringer Ingelheim, Novartis, and others; and communications agencies, including Publicis, Red Healthcare and others. She has no stock options or shares in any pharmaceutical or healthcare companies; however, she invests in a personal pension, which may invest in these types of companies. She is managing director of Susan Mayor Limited, the company name under which she provides medical writing and communications services.
Julie Costello
Comorbidities Editor, BMJ Best Practice
利益声明
JC declares that she has no competing interests.
Adam Mitchell
Drug Editor, BMJ Best Practice
利益声明
AM declares that he has no competing interests.
鉴别诊断
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- 低血糖
- 癫痫与癫痫发作后(Todd’s)麻痹
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