Chay mau nao[bacsihoasung.wordpress.com]
Transcript of Chay mau nao[bacsihoasung.wordpress.com]
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Ch¶y m¸u n·oCh¶y m¸u n·o
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Le Scanner sans contraste permet de differencier en urgenceLe Scanner sans contraste permet de differencier en urgenceHémorragie et IschémieHémorragie et Ischémie
Le Scanner sans contraste permet de differencier en urgenceLe Scanner sans contraste permet de differencier en urgenceHémorragie et IschémieHémorragie et Ischémie
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L©m sµngL©m sµng
•• Ch¶y m¸u mµng n·oCh¶y m¸u mµng n·o
•• Ch¶y m¸u trong nhu m«Ch¶y m¸u trong nhu m«
L©m sµngL©m sµng
Ch¶y m¸u mµng n·oCh¶y m¸u mµng n·o
Ch¶y m¸u trong nhu m«Ch¶y m¸u trong nhu m«
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Nguyªn nh©nNguyªn nh©n
-- AnévrismeAnévrisme
-- MAVMAV-- CavernomeCavernome
-- BÊt th- êng tÜnh m¹chBÊt th- êng tÜnh m¹ch
-- Th«ngTh«ng §§TM mµng cøngTM mµng cøng
Nguyªn nh©nNguyªn nh©n
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AnévrismesAnévrismes
•• ChiÕm kho¶ng 5% d©n sèChiÕm kho¶ng 5% d©n sè
•• HËu qu¶:HËu qu¶:
–– 3030--50% tö vong50% tö vong
–– Sèng 50%, tSèng 50%, t××nh tr¹n l©m sµng xÊunh tr¹n l©m sµng xÊu
AnévrismesAnévrismes trong n·o vìtrong n·o vì
ChiÕm kho¶ng 5% d©n sèChiÕm kho¶ng 5% d©n sè
nh tr¹n l©m sµng xÊunh tr¹n l©m sµng xÊu
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AnévrismesAnévrismes
•• BiÕn chøng:BiÕn chøng:
––Ch¶y l¹i 50% trong 6 th¸ngCh¶y l¹i 50% trong 6 th¸ng
––Co th¾t m¹ch ++++Co th¾t m¹ch ++++
––ø n- íc n·o thÊtø n- íc n·o thÊt +/-
AnévrismesAnévrismes trong n·o vìtrong n·o vì
Ch¶y l¹i 50% trong 6 th¸ngCh¶y l¹i 50% trong 6 th¸ng
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CC§§ HH××nh ¶nhnh ¶nh
• Chôp m¹ch
•• Scanner vµ AngioscannerScanner vµ Angioscanner
•• IRM vµ AngioIRM (ARM)IRM vµ AngioIRM (ARM)
nh ¶nhnh ¶nh
Scanner vµ AngioscannerScanner vµ Angioscanner
IRM vµ AngioIRM (ARM)IRM vµ AngioIRM (ARM)
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PhPh××nh m¹ch nÿonh m¹ch nÿo•• 85%85%--90% ë vïng90% ë vïng®a gi¸cWillis vµ®a gi¸cWillis vµc¶nh trongc¶nh trong
•• 10%10% §§M sèng nÒnM sèng nÒn
•• <5% ®Çu xa (Osler,<5% ®Çu xa (Osler,NÊm)NÊm)
nh m¹ch nÿonh m¹ch nÿo
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Lu«n ph¶i thÊy râ cæLu«n ph¶i thÊy râ cæ
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PhPh××nh khæng lånh khæng lå
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PhPh××nh m¹ch trªn CHTnh m¹ch trªn CHTnh m¹ch trªn CHTnh m¹ch trªn CHT
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PhPh××nh m¹chnh m¹ch: ARM: ARM
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IRMIRM vµvµ ARMARM
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PhPh××nh m¹ch trong n·onh m¹ch trong n·o
1.1. Vì tói phVì tói ph
2. Ph2. Ph××nh ch- a vình ch- a vì
nh m¹ch trong n·onh m¹ch trong n·o
Vì tói phVì tói ph××nhnh
nh ch- a vình ch- a vì
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1.1. PhPh××nh bÞ vình bÞ vì
•• Ch¶y m¸u mµng n·oCh¶y m¸u mµng n·o
•• M¸u tô vµ ch¶y m¸u trong n·oM¸u tô vµ ch¶y m¸u trong n·o
nh bÞ vình bÞ vì
Ch¶y m¸u mµng n·oCh¶y m¸u mµng n·o
M¸u tô vµ ch¶y m¸u trong n·oM¸u tô vµ ch¶y m¸u trong n·o
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Ch¶y m¸uCh¶y m¸umµng n·omµng n·o
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AngioAngio--scannerscannerscannerscanner
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•• < 10 mm :< 10 mm :
–– Khi ch- a cã ch¶y m¸u thKhi ch- a cã ch¶y m¸u th
––§§· cã ch¶y : 0,5 %/ n· cã ch¶y : 0,5 %/ n¨̈mm
•• > 10 mm: 1%> 10 mm: 1%
•• > 25 mm: 6%> 25 mm: 6%
PhPh××nh m¹ch trong n·onh m¹ch trong n·o
Khi ch- a cã ch¶y m¸u thKhi ch- a cã ch¶y m¸u th×× tû lÖ ch¶y 0,05 %/ ntû lÖ ch¶y 0,05 %/ n¨̈mm
mm
nh m¹ch trong n·onh m¹ch trong n·o
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PhPh××nh ch- a vình ch- a vì
•• PhPh××nh cã triÖu chøng:nh cã triÖu chøng:––Héi chøng nøt tói phHéi chøng nøt tói ph××––§§au ®Çuau ®Çu––HiÖu øng khèi (thiÕu hôt TK tiÕn triÓn, d©yHiÖu øng khèi (thiÕu hôt TK tiÕn triÓn, d©y
TK)TK)––ThiÕu m¸u do di chuyÓn côc m¸u ®«ngThiÕu m¸u do di chuyÓn côc m¸u ®«ng
•• PhPh××nh ph¸t hiÖn tnh ph¸t hiÖn t××nh cênh cê
nh ch- a vình ch- a vì
nh cã triÖu chøng:nh cã triÖu chøng:Héi chøng nøt tói phHéi chøng nøt tói ph××nhnh
HiÖu øng khèi (thiÕu hôt TK tiÕn triÓn, d©yHiÖu øng khèi (thiÕu hôt TK tiÕn triÓn, d©y
ThiÕu m¸u do di chuyÓn côc m¸u ®«ngThiÕu m¸u do di chuyÓn côc m¸u ®«ng
nh cênh cê
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AngioAngio--
2.2. PhPh××nh ch- a vình ch- a vì
--IRMIRM
nh ch- a vình ch- a vì
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ChÈn ®o¸n c¸c phChÈn ®o¸n c¸c ph
•• Ph¸t hiÖn ë nhPh¸t hiÖn ë nh÷÷ng ng- êi cã nguy c¬:ng ng- êi cã nguy c¬:––YÕu tè gia ®YÕu tè gia ®××nh(>2 ng- êi trong gia ®nh(>2 ng- êi trong gia ®––Gan thËn ®a nangGan thËn ®a nang––Héi chøng MarfanHéi chøng Marfan (gi·n m¹ch m¸u,(gi·n m¹ch m¸u,
§§MC...),MC...), EhlerEhler--DanlosDanlos (tæn th- ¬ng m¹ch,tim,da),(tæn th- ¬ng m¹ch,tim,da),RenduRendu--OslerOsler (u m¸u ch¶y m¸u gia ®(u m¸u ch¶y m¸u gia ®
ChÈn ®o¸n c¸c phChÈn ®o¸n c¸c ph××nh cha vình cha vì
ng ng- êi cã nguy c¬:ng ng- êi cã nguy c¬:nh(>2 ng- êi trong gia ®nh(>2 ng- êi trong gia ®××nh)nh)
(gi·n m¹ch m¸u,(gi·n m¹ch m¸u, §§MC, hë vanMC, hë van(tæn th- ¬ng m¹ch,tim,da),(tæn th- ¬ng m¹ch,tim,da),
(u m¸u ch¶y m¸u gia ®(u m¸u ch¶y m¸u gia ®××nh)nh)
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§§iÒu trÞiÒu trÞ
1.1. PhÉu thuËtPhÉu thuËt
2.2. Nót m¹chNót m¹ch
iÒu trÞiÒu trÞ
PhÉu thuËtPhÉu thuËt
Nót m¹chNót m¹ch++++++++
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Mise en place coïlsMise en place coïlsMise en place coïlsMise en place coïls
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PhPh××nh th«ng tr- ícnh th«ng tr- ícHH××nhnh 3D3D
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Tr- íc nót m¹chTr- íc nót m¹ch SauSau nótnót
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CC§§ ph©n biÖtph©n biÖt
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C§ Ph©n biÖtPh©n biÖt
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Nguyªn nh©nNguyªn nh©n
-- PhPh××nh m¹chnh m¹ch
-- MAVMAV
-- CavernomeCavernome
-- BÊt th- êng tÜnh m¹chBÊt th- êng tÜnh m¹ch
-- Th«ngTh«ng §§TM mµng cøngTM mµng cøng
Nguyªn nh©nNguyªn nh©n
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MAVMAVL©m sµng
••Tô m¸u+/Tô m¸u+/--ch¶y m¸u d- íi nhÖn+/ch¶y m¸u d- íi nhÖn+/
thÊt 50%thÊt 50%
••BiÓu hiÖn kh¸c:BiÓu hiÖn kh¸c:
-- §§éng kinh: 25%éng kinh: 25%
-- §§au ®Çu, thiÕu hôt TK, tau ®Çu, thiÕu hôt TK, t
MAVMAV nÿonÿoL©m sµng
ch¶y m¸u d- íi nhÖn+/ch¶y m¸u d- íi nhÖn+/--, ch¶y m¸u n·o, ch¶y m¸u n·o
au ®Çu, thiÕu hôt TK, tau ®Çu, thiÕu hôt TK, t××nh cê : 25%nh cê : 25%
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Ch¶y m¸uCh¶y m¸u
ScannerScanner
Angio/IRMAngio/IRM
MAVMAV
Ch¶y m¸uCh¶y m¸u
ScannerScanner
Angio/IRMAngio/IRM
MAVMAV
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2 lo¹i ch¶y m¸u; hai th¸i ®é kh¸c nhau2 lo¹i ch¶y m¸u; hai th¸i ®é kh¸c nhau2 lo¹i ch¶y m¸u; hai th¸i ®é kh¸c nhau2 lo¹i ch¶y m¸u; hai th¸i ®é kh¸c nhau
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Tô m¸u nh©n x¸m THA+Tô m¸u nh©n x¸m THA+Tô m¸u nh©n x¸m THA+Tô m¸u nh©n x¸m THA+++++
Kh«ng chôp m¹chKh«ng chôp m¹ch
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Tô m¸u nhu m« thuúTô m¸u nhu m« thuú Chôp m¹chChôp m¹ch
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MAVMAV•• Nèi bÊt th- êngNèi bÊt th- êng §§MM--TMTM
•• NidusNidus KT kh¸c nhauKT kh¸c nhau
••CC§§: Angio; ARM: Angio; ARM
•• TT¨̈ng tèc ; c- íp m¸ung tèc ; c- íp m¸u
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MAV: IRMMAV: IRM
ARMARM
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MAV: AngioMAV: Angio
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Hématome: ScannerHématome: ScannerHématome: ScannerHématome: Scanner-- IRMIRM
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Scanner, IRM HématomeScanner, IRM HématomeScanner, IRM HématomeScanner, IRM Hématome
T1T1
T2T2
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AngioAngio -- ARMARM
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TraitementTraitement
1.1. ChirurgieChirurgie
2.2. Embolisation++++Embolisation++++
3.3. RadiochirurgieRadiochirurgie
TraitementTraitement
ChirurgieChirurgie
Embolisation++++Embolisation++++
RadiochirurgieRadiochirurgie
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Angiome AV vermisAngiome AV vermisAngiome AV vermisAngiome AV vermis
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Traitement:Traitement:embolisationembolisation
avec Histoacrylavec Histoacryl
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MAV emboliséeMAV embolisée
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MAV frontoMAV fronto--rolandique dterolandique dterolandique dterolandique dte
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Post embolPost embolPost embolPost embol
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Nguyªn nh©nNguyªn nh©n
-- AnévrismesAnévrismes
-- MAVMAV-- CavernomesCavernomes
-- B©t th- êng tÜnh m¹chB©t th- êng tÜnh m¹ch
-- Th«ng mµng cøngTh«ng mµng cøng (FD)
Nguyªn nh©nNguyªn nh©n
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CavernomeCavernome•• TT trßn hTT trßn h××nh qu¶ d©u, kh«ngnh qu¶ d©u, kh«ng
®Òu "muèi tiªu", kÝch th- íc®Òu "muèi tiªu", kÝch th- íckh¸c nhaukh¸c nhau
•• ThÓ ®¬n ®éc hay gia ®ThÓ ®¬n ®éc hay gia ®××nhnh(>2)(>2)
•• IRM: T2*+++IRM: T2*+++•• AngioAngio --
nh qu¶ d©u, kh«ngnh qu¶ d©u, kh«ng®Òu "muèi tiªu", kÝch th- íc®Òu "muèi tiªu", kÝch th- íc
T2*T2*
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Cavernomes multiples:Cavernomes multiples:
T2T2 T2*T2*
Cavernomes multiples:Cavernomes multiples: thÓ gia ®thÓ gia ®××nhnh
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Cavernome
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Nguyªn nh©nNguyªn nh©n
-- AnévrismeAnévrisme
-- MAVMAV-- CavernomeCavernome
-- BÊt th- êng tÜnh m¹chBÊt th- êng tÜnh m¹ch
-- FDFD
Nguyªn nh©nNguyªn nh©n
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BÊt th- êng tÜnh m¹chBÊt th- êng tÜnh m¹ch
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BÊt thêng tÜnh m¹chBÊt thêng tÜnh m¹ch
•• gäigäi angiomes veineuxangiomes veineux•• PhPh×× ®¹i TM dÉn l- u®¹i TM dÉn l- u•• Ph¸t hiÖn tPh¸t hiÖn t××nh cênh cê•• ChÈn ®o¸n:ChÈn ®o¸n:
ScannerScanner -- IRMIRMC+; AngioC+; Angio
••HiÕm ch¶y m¸uHiÕm ch¶y m¸u•• Kh«ng can thiÖpKh«ng can thiÖp
BÊt thêng tÜnh m¹chBÊt thêng tÜnh m¹ch
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Th«ng mµng cøng(Th«ng mµng cøng(
•• Th«ng giTh«ng gi÷÷aa §§m mµng cøngm mµng cøngvµ xoang TMvµ xoang TM
•• L©m sµng :tiÕng thæi; låi m¾t;L©m sµng :tiÕng thæi; låi m¾t;liÖt vËn nh·n; ch¶y m¸uliÖt vËn nh·n; ch¶y m¸u……
•• NhiÒu thÓNhiÒu thÓ
•• ChÈn ®o¸n; AngioChÈn ®o¸n; Angio
Th«ng mµng cøng(Th«ng mµng cøng(Fistule durale)Fistule durale)
m mµng cøngm mµng cøng
L©m sµng :tiÕng thæi; låi m¾t;L©m sµng :tiÕng thæi; låi m¾t;
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Ca l©m sµngCa l©m sµng
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Ph×nh h×nh thoi
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Ph×nh cuèi §M c¶nh trongM c¶nh trong?
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ARM: méningiomeARM: méningiome ch©n b- ím tr- íc?
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Anévrisme / Méningiome ?Anévrisme / Méningiome ?
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Cavernome
T2 SE
Cavernome
T2* GRE
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Ph×nh huyÕt khèi
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Ph×nh khæng lå huyÕt khèi