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上大脑大动脉:可变性和临床意义
Mikołaj Malicki1, Bartosz M Szmyd2,3, Ernest J Bobeff2,4
1Department of Neurosurgery, Spine and Peripheral Nerves Surgery, Medical University of Lodz, Zeromskiego St. 113, 90-549 Lodz, Poland.
Biomedicines
|July 29, 2023
概括
上大脑小动脉 (SCA) 的解剖学变异可能导致神经血管压缩 (NVC) 综合征. 了解这些变异对于有效管理与SCA相关的NVC患者至关重要.
科学领域:
- 神经学 神经学
- 血管解剖学 血管解剖学
- 神经外科 神经外科
背景情况:
- 上大脑小动脉 (SCA) 起源于基底动脉,在解剖学上是可变的.
- SCA变异与三角神经疼痛和其他神经血管压缩 (NVC) 疾病有关.
- 临床意义扩展到缺血综合征和动脉瘤形成.
研究的目的:
- 审查上大脑小动脉解剖变异对神经血管压缩的影响.
- 综合当前关于SCA变体及其与NVC相关的文献.
主要方法:
- 来自PubMed,Scopus和Web of Science的研究的叙事综述.
- 识别相关文献的雪球式方法.
- 专注于解剖变异及其对NVC的临床影响.
主要成果:
- 常见的SCA变异包括重复,来自后脑动脉 (PCA) 的起源,以及PCA的共同干.
- 罕见的变体包括分叉和来自内动脉的起源.
- 像SCA重复的早期分叉和尾部过程这样的特定变体增加了NVC风险.
结论:
- 对SCA解剖变异性的全面理解对于诊断和管理NVC至关重要.
- SCA变异在各种NVC综合征的发病过程中发挥着重要作用.
- 优化患者管理需要对这些动脉异常有详细的了解.
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