事情不是看起来的神经学和放射学:脊柱硬性动脉静脉 (SDAVF) 的一个合适的描述
Safa Shaik Moosa1, Hasan Hasan1, Joe Joseph Leyon2
1Salmaniya Medical Complex, Manama, Bahrain.
Radiology case reports
|September 25, 2023
概括
脊柱硬性动脉静脉 (SDAVF) 是一种罕见但可治疗的脊髓血管形. 早期诊断和治疗,如用像PHIL这样的药物进行栓塞,可以改善患者的结果并预防神经损伤.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 脊柱硬性动脉静脉 (SDAVF) 是最常见的脊柱血管形.
- 它们通常是获得的,主要影响中年到老年男性,并且经常被误诊.
- 临床表现包括阴险的骨髓病发现,带和MRI上的内流空隙.
研究的目的:
- 突出诊断挑战和脊柱持续动脉静脉囊 (SDAVF) 的治疗.
- 报告使用特定液体栓塞剂成功栓塞SDAVF的病例.
- 强调早期诊断和适当管理的重要性,以改善患者的预后.
主要方法:
- 病例报告介绍一个错误诊断的SDAVF.
- 对诊断方式的审查,包括血管造影.
- 使用沉水注射液 (PHIL) 栓塞剂进行内血管治疗的描述.
主要成果:
- 该病例表明,由于对症状和初始治疗的误解,诊断延迟.
- 用PHIL成功栓塞导致改善了临床结果.
- 血管造影证实了诊断和管位置,指导治疗.
结论:
- 脊柱硬性动脉静脉 (SDAVF) 需要高度的临床和放射学怀疑,以便及时诊断.
- 内血管栓塞,特别是像PHIL这样的药物,提供了安全有效的治疗方法.
- 提高临床医生的意识可以防止误诊,并改善这种可治疗疾病的结果.
相关概念视频
Hemodialysis I: Introduction
39
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
39
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
14
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
14
Aneurysm II: Clinical Manifestations and Diagnostic Studies
10
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
10
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
14
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
14


