脑小穴瘤切除与保存的静脉异常:一个28岁女孩的病例报告
Muhammad Ari Irsyad1, Fitra Fitra2, Firman Adi Sanjaya3
1Universitas Sumatera Utara Hospital, Medan, Indonesia; Department of Neurosurgery, H. Adam Malik General Hospital, Medan, Indonesia; Department of Neurosurgery, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
International journal of surgery case reports
|June 3, 2023
概括
洞穴形,罕见的血管问题,可以发生在发育静脉异常. 这一案例突显了一个小脑洞瘤在年轻成年人中出血,成功治疗,没有持久的缺陷.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 洞穴形是不常见的血管异常,影响0.5%的人口.
- 大脑小穴瘤 (CCM) 是内和下血管病变的一个重要子集.
- 与洞穴瘤同时发展的静脉异常 (DVA) 发生在高达40%的病例中,形成混合血管形.
研究的目的:
- 报告一个小脑洞瘤病例与与年轻成年人同时存在的DVA.
- 为了说明这种混合血管形的临床表现和诊断结果.
- 强调认可这些实体对适当管理的重要性.
主要方法:
- 一个健康的年轻成年人出现急性神经症状的病例报告.
- 用于诊断的磁共振成像 (MRI).
- 临床随访以评估患者的结果.
主要成果:
- 患者出现了逐渐恶化的头痛,头,恶心和吐.
- 核磁共振扫描显示了带出血的小脑洞瘤和同时存在的DVA.
- 患者经历了完整的症状消失,并且在出院后没有神经学缺陷.
结论:
- 洞穴形,虽然不常见,但可以表现出显著的症状,特别是当与DVA相关时.
- 通过先进的成像进行早期诊断对于有效的管理至关重要.
- 由于潜在的管理复杂性,混合血管形需要仔细考虑.
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