在一个15岁的女孩的瘤下大脑下出血后扩散大脑血管:一个病例报告
Dajeong Lee1, Jeehun Lee1, Keon Ha Kim2
1Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Frontiers in radiology
|July 26, 2023
概括
扩散性大脑血管,这是一种罕见的小儿副arachnoid出血 (SAH) 的并发症,可以模仿莫亚莫亚病. 这一案例突显了十几岁女孩血管和动脉瘤的成功治疗,导致神经系统完全恢复.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 神经外科 神经外科
背景情况:
- 在下大脑下出血 (SAH) 之后,扩散性脑血管 (DCVS) 是一种严重的并发症.
- 儿科患者中DCVS不常见,可能会被误认为韩国普遍存在的莫亚莫亚病.
- 早期诊断和干预对于管理神经系统缺陷至关重要.
研究的目的:
- 为了报告一个罕见的儿科DCVS病例,这是多重动脉瘤破裂的次要原因.
- 为了说明诊断挑战和成功管理这个条件在一个青少年.
- 强调多学科治疗方法的重要性.
主要方法:
- 一个15岁女孩的病例介绍,她患有发作,头痛和心态变化.
- 诊断工作包括脑MRI和MR血管造影,揭示DCVS和未破裂的动脉瘤.
- 治疗包括静脉注射水分,尼莫迪平和血管内线圈栓塞.
主要成果:
- 该患者呈现出进展性神经缺陷,包括焦点虚弱,脱发性关节障碍,四肢和失言症.
- 脑血管造影证实主要脑动脉的扩散性狭窄.
- 多模式治疗导致血管扩张,神经状况显著改善.
- 在出院11个月后,神经系统完全恢复.
结论:
- 在SAH后的儿科DCVS需要高的怀疑指数和与莫亚莫亚病等疾病的差异诊断.
- 医疗,干预和康复疗法的组合可以有效地管理DCVS及其并发症.
- 及时和全面的治疗可以在受影响的儿童和青少年中带来有利的长期结果.
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