一例异常性内高血压病例通过横侧鼻腔支架治疗
Kazunori Miki1, Kazutaka Sumita1, Shoko Fujii1
1Department of Endovascular Surgery, Tokyo Medical and Dental University, Tokyo, Japan.
Journal of neuroendovascular therapy
|July 28, 2023
概括
异常性内高血压 (IIH) 与横侧鼻腔 (TS) 狭窄可以导致慢性头痛. 缩小TS的支架改善了患者的静脉回归和症状的缓解,证明了有效的治疗选择.
科学领域:
- 神经学 神经学
- 干预性神经辐射学
- 血管外科 血管外科
背景情况:
- 异常性内高血压 (Idiopathic intracranial hypertension,IIH) 是一种无明确原因的脑内血压升高的疾病.
- 横侧鼻 (TS) 狭窄症越来越多地被认为是导致IIH的潜在因素.
- 慢性头痛和 papilledema 是 IIH 的常见衰弱症状.
研究的目的:
- 报告一个成功安置支架的病例,用于在患有异常性内高血压的患者的横侧鼻狭窄症.
- 评估静脉鼻腔支架在改善脑静脉回归和缓解IIH症状方面的疗效.
主要方法:
- 一名37岁的女性患有IIH,头痛和乳头,接受了磁共振成像和血管造影.
- 确定了双边TS狭窄症,并进行了支架安置.
- 静脉压梯度在支架之前和之后被监测.
- 双重抗血小板疗法是在术前进行的.
主要成果:
- 这位患者出现了严重的双侧乳头炎和逐渐发作的头痛.
- 证实了双边TS的狭窄.
- 随着支架的安置,静脉压力梯度得到改善.
- 在手术后立即消失的头痛和 papilledema.
- 在随访期间没有观察到诸如静脉支架狭窄或闭塞等并发症.
结论:
- 静脉鼻支架是一种有效的治疗与IIH相关的横向鼻狭窄症.
- 支架安置可以改善脑静脉外流,并导致某些IIH患者的症状缓解.
- 虽然还原是可能的,但该程序提供了显著的临床益处.
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