在异形性内高血压下进行内内视神经减压:何时实施视神经外窗化?
Merdin Lyutviev Ahmedov1, Burak Tahmazoglu1, Seckin Aydin2
1Department of Neurosurgery, Cerrahpasa Medical Faculty, Istanbul University-Cerrahpaşa, İstanbul, Turkey.
Operative neurosurgery (Hagerstown, Md.)
|June 22, 2023
概括
内镜内视神经减压 (EOND) 有效地治疗异常性内高血压 (IIH). 双边EOND有利于视觉问题,而视神经化可能有助于IIH患者的头痛.
科学领域:
- 神经外科 神经外科
- 眼科医生 眼科 眼科
- 神经学 神经学
背景情况:
- 异常性内高血压 (IIH) 涉及高内压力与正常的CSF组成.
- 目前的治疗包括保守措施和CSF转移手术.
- 内镜内视神经减压 (EOND) 是IIH的新兴外科选择.
研究的目的:
- 在IIH患者中评估单边和双边EOND的结果.
- 为了比较EOND带有或没有视神经 fenestration.
- 评估EOND在管理IIH症状方面的有效性.
主要方法:
- 一个由16名IIH患者组成的病例系列,接受了18次EOND手术.
- 手术前的MRI和血管造影,包括常规的视力敏度,周边测量和后视镜.
- 带有个性化视神经解压和窗的内镜双球形切除术.
主要成果:
- 单边EOND改善了视野 (83%),敏度 (70%) 和头痛 (75%).
- 双边EOND改善了周长 (86%),敏度 (43%) 和乳腺瘤 (57%).
- 在75% (单边) 和50% (双边) 的病例中,观察到头痛的改善.
结论:
- EOND是一种有效的 IIH 手术治疗方法.
- 建议在双边视力损伤时进行双边减压.
- 视神经化可能有利于初级头痛的IIH患者.
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