在成年人中奇亚里1型形
Athanasios Zisakis1, Rosa Sun1, Joshua Pepper1
1Department of Neurosurgery, Queen Elizabeth Hospital Birmingham, University Hospitals of Birmingham, Birmingham, UK.
Advances and technical standards in neurosurgery
|June 15, 2023
概括
奇阿里1型形 (CM1) 涉及小脑桃体突起,通常无症状,但可能导致头痛和注射器. 管理需要多学科的方法,严重的症状需要手术.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 医疗成像医学成像
背景情况:
- 奇阿里1型形 (CM1) 是一种常见的疾病,影响椎节.
- 它涉及小脑桃体外皮,可能与小后脑沟有关.
- CM1影响大约1%的人口,女性患病率更高,并与syringomyelia相关.
研究的目的:
- 为了提供一个全面的Chiari形类型1的概述.
- 讨论它的病理生理学,临床表现,诊断方法和管理策略.
- 突出CM1管理的复杂性,特别是在相关疾病和特定患者群体方面.
主要方法:
- 文献综述和对CM1.1当前知识的综合.
- 对诊断标准的分析,包括MRI发现.
- 讨论治疗选择,重点是手术减压和保守管理.
主要成果:
- CM1的特点是小脑桃体下降>5毫米以下的大孔.
- 头痛,通常由瓦萨尔瓦机动引发,是症状病例的主要症状.
- 囊髓炎发生在25-70%的病例中,导致脊髓功能障碍.
结论:
- CM1诊断依赖于MRI,并考虑进一步的研究,如动态成像和ICP监测.
- 管理是个性化的,手术是为残疾症状保留的;椎压力减压是常见的,但在最佳技术上缺乏共识.
- 需要特别考虑怀孕,运动活动和CM1患者的超运动.
相关概念视频
01:19Cranial and Spinal Meninges
1.6K
The cranial and spinal meninges are complex protective structures surrounding the central nervous system (CNS), consisting of the brain and spinal cord. These meninges consist of the dura mater, the arachnoid mater, and the pia mater. They protect the CNS, provide structural support, and aid in circulating cerebrospinal fluid (CSF).
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
1.6K
01:16Vertebral Column: Regions and Curvature
3.8K
The vertebral column or spine is a flexible column that supports the head, neck, and body and allows for their movements. It also protects the spinal cord.
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form...
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form...
3.8K
01:15Spinal Cord: Gross Anatomy
3.3K
The spinal cord resides within the protective confines of the vertebral column. It is the main pathway for information traveling between the brain and the body. It plays a fundamental role in nearly all bodily functions, from simple reflexes to complex motor movements. The spinal cord begins at the medulla oblongata at the base of the brainstem and extends downward, terminating at the conus medullaris near the first and second lumbar vertebrae. The spinal cord's length in adults is...
3.3K