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一种具有侵略性的持续性动脉静脉囊,表现为单边皮下化和脑:一个病例报告

Yuya Kagawa¹, Taichiro Imahori^1,2, Reiichi Okino¹

¹Department of Neurosurgery, Kitaharima Medical Center, Hyogo, Japan.

Radiology case reports

|September 25, 2023

概括

带有的单边皮层下化可能表明具有侵略性的长期动脉静脉,而不仅仅是瘤. 早期的头骨血管评估对于及时诊断和治疗这些潜在危险的疾病至关重要.

科学领域:

神经辐射学神经辐射学
血管神经学血管神经学
神经干预外科手术神经干预外科

背景情况:

带有的单边皮层下化通常与大脑瘤有关.
持续性动脉静脉 (dAVFs) 可以呈现出各种各样的,有时是误导性的成像发现.

研究的目的:

为了突出一个罕见的呈现,长期的动脉静脉囊模仿大脑瘤.
强调在单边皮层下和的差异诊断中考虑dAVF的重要性.

主要方法:

一个60岁的男性病例报告,他患有左侧脑和头痛.
初始计算机断层扫描 (CT) 和磁共振成像 (MRI) 用于病变的表征.
脑血管造影用于确定诊断和治疗计划.
使用Onyx进行治疗的跨动脉栓塞.

主要成果:

最初的CT显示单边的皮下化和,怀疑是寡质结质瘤.
大脑出血发生在损伤10天后.
磁力共振成像显示流空隙和血管扩张,暗示dAVF.
大脑血管造影证实了一种寄生体的dAVF (波登型III).
通过跨动脉栓塞成功治疗.

结论:

单边皮层下和可能表明具有严重皮层静脉反流的侵袭性持续性动脉静脉.
迅速评估血管结构对于早期发现和管理这种病例至关重要.
识别这些成像特征有助于区分dAVF和瘤,并防止潜在的出血.

关键词:

大脑新生体.脑部胀脑部胀化是一种化过程.中枢神经系统血管形血管形干预性干预性干预性放射学放射学是指放射学

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