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同时进行内和外脊椎动脉剖析:一个案例报告
Hideki Endo1, Hidetoshi Ono2, Megumi Matsuda1
1Department of Neurosurgery, Nakamura Memorial Hospital, South 1, West 14, Chuo-ku, Sapporo, Hokkaido 060-8570, Japan.
Radiology case reports
|June 5, 2023
概括
内和外脊椎动脉的同时剖析是罕见的. 这一案例凸显了全面成像对于诊断这些复杂的脊椎动脉剖析的重要性.
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:
- 脊椎动脉剖析 (VAD) 可以影响内或外段.
- 虽然孤立的剖析是常见的,同时涉及内和外两部分是非常罕见的.
研究的目的:
- 报告一个极其罕见的同时进行内和外脊椎动脉剖析的案例.
- 强调在这种情况下的诊断挑战和彻底的成像评估的重要性.
主要方法:
- 一个45岁的男性出现头痛的病例报告.
- 诊断工作包括磁共振成像 (MRI) 和磁共振血管造影 (MRA) 进行内评估.
- 计算机断层扫描血管造影 (CTA) 用于额外评估.
主要成果:
- 核磁共振扫描显示了右内脊椎动脉的内壁血瘤和轻微的外扩张.
- 核磁共振显示,整个右脊动脉的划线很差,延伸到靠近.
- CTA证实了右脑外脊椎动脉的剖析.
结论:
- 在不同的位置同时进行内和外脊椎动脉剖析非常罕见.
- 包括MRI/MRA和CTA在内的全面和仔细的成像评估对于准确的诊断至关重要.
- 这一案例强调了需要高可疑指数和详细的放射性评估的需要.
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