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不完整的前脊柱动脉综合征对内巴克洛芬有反应

Andrew Waack¹, Maximilian Fliegner², Daniel L Menkes^3,4

¹Neurosurgery, The University of Toledo, Toledo, USA.

|July 17, 2023

概括

前综合征 (ACS) 是一种罕见的脊髓中风,可以发生在大动脉手术后. 这种病例突出了延迟的性和不稳定性,成功地用内巴克洛芬治疗.

科学领域:

神经学神经学
血管外科血管外科
脊髓医学脊髓医学

背景情况:

前脊髓综合征 (ACS) 是由前脊髓动脉 (ASA) 缺血引起的,这是脊髓中风的罕见原因.
ACS是大动脉手术的已知并发症,特别是内血管腹腔大动脉动脉瘤再血管化 (EVAR).
典型的症状包括运动缺陷,感官损失 (疼痛和温度),以及自主功能障碍.

研究的目的:

在EVAR后报告一个不完全的ACS与延迟发作的性和不稳定的独特病例.
描述这位患者用内巴克洛芬成功治疗的情况.
假设潜在的病理生理学涉及选择性缺血下降白质道.

主要方法:

病例报告详细说明了临床表现,诊断结果和治疗过程.
关于ACS,EVAR并发症和内巴克洛芬治疗的相关文献的审查.
基于临床表现和已知的脊髓管道神经解剖学的假设.

主要成果:

一位患者在EVAR后几个月出现了延迟的性和不稳定性,与不完整的ACS一致.
内巴克洛芬给药导致性和稳定性的显著改善.
这些发现表明,皮质脊髓和其他参与运动控制和自身感知的下降通道受到选择性损伤.

结论:

不完整的ACS可以出现延迟的神经缺陷,包括性和不稳定性,几个月后EVAR.
内巴克洛芬是一种有效的治疗选择,用于管理延迟发作的ACS中的性.
缺血可能选择性地准特定的下降白质道,影响运动调节和稳定性.

关键词:

腹部大动脉狭窄症腹部大动脉狭窄症前带综合症前带综合症前脊柱动脉综合症前脊柱动脉综合症巴克洛芬是一种腹腔动脉瘤的内血管修复在内,内.性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性,性等.

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