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内动脉动脉瘤伪装成坐骨神经 schwannoma:一个说明案例
Lokeshwar S Bhenderu1, Khaled M Taghlabi1, Taimur Hassan1
1Departments of1Neurological Surgery.
Journal of neurosurgery. Case lessons
|July 3, 2023
概括
一个罕见的病例突出了误诊内动脉 (IIA) 动脉瘤作为坐骨神经神经瘤的风险. 外科医生应该考虑先进的成像,以防止手术错误,并确保正确的诊断.
科学领域:
- 血管外科 血管外科
- 神经学 神经学
- 放射学 放射学是一门学科.
背景情况:
- 斯瓦诺瘤是常见的外围神经膜瘤.
- 磁共振成像 (MRI) 和计算机断层扫描 (CT) 有助于区分病变.
- 有报道称动脉瘤被误诊为神经瘤.
研究的目的:
- 报告第一个被误诊为坐骨神经神经瘤的内动脉 (IIA) 动脉瘤病例.
- 提高外科医生对这种潜在的诊断陷的认识.
主要方法:
- 一名患有持续疼痛的70岁男性接受了MRI,揭示了可疑为神经瘤的坐骨神经损伤.
- 在手术中发现的脉动性导致了手术中断.
- 电肌图绘制和手术内超声波证实了血管起源.
- CT血管图检测出内动脉 (IIA) 分支动脉瘤.
主要成果:
- 这种最初被认为是坐骨神经的病变被证实是内动脉 (IIA) 分支动脉瘤.
- 患者成功接受了用于动脉瘤消灭的线圈栓塞.
结论:
- 这个案例代表了第一个被记录的IIA动脉瘤被误诊为坐骨神经神经瘤的案例.
- 外科医生必须对这种错误诊断保持警,并考虑使用额外的成像方法来确定外科手术之前的病变确认.
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