流血的儿科AVM与负面的手术前血管学:第一个病例报告
Vich Yindeedej1, Gahn Duangprasert2, Raywat Noiphithak2
1Division of Neurosurgery, Department of Surgery, Thammasat University Hospital, Faculty of Medicine, Thammasat University, Pathumthani, Thailand. vichy@tu.ac.th.
概括
数字减去血管学 (DSA) 可能无法检测儿科动脉静脉形 (pAVM) 如果它们自发封闭. 这一案例凸显了DSA在诊断pAVM方面的局限性,即使它是疑似导致出血的原因.
科学领域:
- 儿科神经学 儿科神经学
- 血管形症 血管形症
- 神经成像是一种神经成像.
背景情况:
- 儿科动脉静脉形 (pAVM) 是儿童非创伤性脑内出血 (ICH) 的常见原因.
- 数字减去血管学 (DSA) 是诊断AVM的黄金标准,因为它具有详细的动态信息.
研究的目的:
- 为了呈现一种罕见的pAVM误诊病例,原因是自发性闭塞.
- 突出DSA在诊断pAVM中的局限性.
主要方法:
- 一个4岁女孩的病例报告显示,她患有左头部内.左头部内.
- 进行了手术前的DSA,对pAVM是负的.
- 手术切除和随后的病理诊断证实了pAVM.
主要成果:
- 尽管临床怀疑和呈现与pAVM一致,但手术前的DSA未能检测出形.
- 手术切除后的病理检查证实了pAVM的存在.
- 发现pAVM是自发封闭的.
结论:
- 黄金标准的DSA并非不可错误,在自发性AVM封闭的情况下,可能会错过诊断.
- 自发性AVM封闭的潜在机制需要进一步研究.
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