静脈閉塞性骨髄病と二次性心筋梗塞: 脊椎間筋静脈の遅れた診断
Ahmad Elbaghdady1, Shafaq Ismail2, Jerry Brown Njoh Aseneh3
1Acute Medicine, King's Mill Hospital, Sherwood Forest Hospitals NHS Foundation Trust, Sutton-in-Ashfield, GBR.
Cureus
|September 2, 2025
まとめ
脊髄硬動脈性フィストゥラ (SDAVF) は,年配の男性において静脈性閉塞性骨髄病 (VCM) と脊髄梗塞を引き起こした. 遅延した診断は,成功した治療にもかかわらず,持続的な神経学的欠陥をもたらしました.
科学分野:
- 神経科学
- 血管 外科
- 放射線科
背景:
- 脊椎間動脈静脈 (SDAVF) は,静脈閉塞性骨髄病 (VCM) を引き起こす可能性のある希少な血管異常である.
- VCMは,静脈高血圧による脊髄腫と神経学的欠陥によって特徴付けられます.
研究 の 目的:
- VCMと二次脊髄梗塞のSDAVFを報告する.
- VCMの診断上の課題と臨床的経過を強調する.
- ステロイド耐性骨髄病におけるSDAVFの重要性を強調する.
主な方法:
- 血管疾患の危険因子を持つ70歳の男性
- 脊髄MRIでは 横筋筋炎と解釈され,コルチコステロイドで治療された.
- 脊髄腫が進行していることを示すMRIを繰り返し,その後,SDAVFを確認する脊髄血管検査を行う.
主要な成果:
- SDAVFによる二次脊髄梗塞によって合併したVCMと診断された.
- の切断手術が行われました.
- 治療の成功にもかかわらず,遅れた診断と不可逆的な損傷のために,重要な残留神経学的欠陥が持続しました.
結論:
- SDAVFは,進行性またはステロイド耐性骨髄病の患者で考慮する必要があります.
- VCMは二次脊髄梗塞につながり,診断と予後を複雑にします.
- 早期診断と介入は,SDAVFの管理と不可逆的な神経損傷の予防に不可欠です.
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