由压缩脊椎动脉动脉瘤引起的半面,因此通过支架辅助的线圈栓塞改善了脊椎动脉动脉瘤
Akinori Onuki1, Masahiro Oinuma1, Daichi Fujimori1
1Department of Neurosurgery, Southern TOHOKU Research Institute for Neuroscience, Southern TOHOKU General Hospital, Koriyama, Fukushima, Japan.
Journal of neuroendovascular therapy
|July 28, 2023
概括
成功治疗了一种罕见的涉及脊髓动脉 (VA) 动脉瘤压缩的半面 (HFS) 的原因. 支架辅助线圈栓塞解决了HFS症状,为类似病例提供了潜在的治疗选择.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 干预性神经辐射学
背景情况:
- 半面 (Hemifacial spasm,简称HFS) 是一种神经肌肉疾病,其特征是面部肌肉的非自愿收缩.
- 面部神经因血管异常而被压缩是HFS的已知病因.
- 脊椎动脉 (VA) 动脉瘤是HFS的不常见原因,具有独特的诊断和治疗挑战.
研究的目的:
- 描述一种罕见的半面 (Hemifacial Spasm,HFS) 病例,该病例归因于脊椎动脉 (VA) 动脉瘤的压缩.
- 评估支架辅助线圈栓塞在治疗VA动脉瘤引起的HFS的疗效.
- 为突出动脉瘤HFS的潜在治疗选择.
主要方法:
- 一名60岁的男性患者呈现左侧HFS,影响眼肌和耳肌肌肉.
- 磁共振成像 (MRI) 和磁共振血管造影 (MRA) 确定了一个宽的左侧VA动脉瘤,压缩左侧面部神经REZ.
- 患者接受了支架辅助的线圈栓塞,以保持主导VA中的前级流量.
主要成果:
- 半脸在栓塞后立即消失,没有任何手术并发症.
- 六个月的随访表明完全没有HFS症状.
- 随访MRA证实VA动脉瘤没有复发.
结论:
- 支架辅助线圈栓塞是对脊椎动脉动脉瘤压缩次要的半面的有效治疗方法.
- 这种技术可能是治疗动脉瘤HFS的首选疗法.
- 保持正常的降级前流量是管理这种情况的关键考虑因素.
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