由于逆侧补偿性缩而导致神经根压缩:脊椎动脉血栓形成的罕见病例
Ertugrul Cakir1, Merve Nur Tasdemir1, Alptekin Tosun1
1Giresun University, Faculty of Medicine, Department of Radiology, Giresun, TR.
Journal of the Belgian Society of Radiology
|September 11, 2023
概括
单侧脊椎动脉血栓形成可能导致对面动脉的补偿性缩,可能导致神经根的压缩. 对这些相邻病理的认识对于有效的患者管理至关重要.
科学领域:
- 血管神经学 血管神经学
- 脑血管疾病 脑血管疾病
- 神经解剖学是一个神经解剖学.
背景情况:
- 脊椎动脉 (VA) 阻塞是一个重要的脑血管事件.
- 单边VA封闭可以触发对方VA中的补偿机制.
- 这些适应性变化可能导致影响邻近神经结构的二次并发症.
研究的目的:
- 调查单边脊椎动脉血栓与相邻病理之间的关系.
- 要突出在对侧脊椎动脉中补偿性缩的临床影响.
主要方法:
- 一个患者出现头和神经症状的案例研究.
- 诊断成像评估脊椎动脉状态并确定血栓.
- 评估补偿性缩及其对周围结构的影响.
主要成果:
- 在右脊椎动脉中发现了血栓.
- 在左脊椎动脉中观察到补偿性缩.
- 神经根压缩检测到二次的过度缩.
结论:
- 单侧脊椎动脉血栓形成需要对二次病理保持警.
- 逆侧脊椎动脉的补偿性缩可以导致神经根的压缩.
- 临床医生应考虑在患有单边脊椎动脉封闭症的患者中邻近的结构性病理.
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