脊椎动脉晚期发育的创伤后持续性动脉静脉:一个说明性的案例
Hanna E Schenck1,2, Thomas B Fodor3, Bart A J M Wagemans4
1Departments of1Neurosurgery and.
Journal of neurosurgery. Case lessons
|October 30, 2023
概括
一种罕见的脊椎动脉硬性动脉静脉 (dAVF) 发生在椎骨折后. 及时诊断和内血管栓塞导致症状缓解和骨折愈合.
科学领域:
- 血管外科 血管外科
- 神经学 神经学
- 放射学 放射学是一门学科.
背景情况:
- 脊椎动脉 (VA) 持续动脉静脉 (dAVF) 是一种不常见的血管病变.
- 创伤性VA损伤,通常来自椎脊柱创伤,是这些片的常见原因.
- 通常情况下,dAVF在初始损伤后不久就会显现出来.
研究的目的:
- 在椎骨折后报告延迟dAVF的病例.
- 突出诊断和治疗方面的挑战.
- 强调后续成像和治疗策略的重要性.
主要方法:
- 一名患有部疼痛和椎骨折的患者接受了血管造影,揭示了VA剖析.
- 延迟呈现与神经缺陷 (无氧,头) 促使重复成像.
- 在DAVF成功地治疗了内血管线圈栓塞,随后是光环支.
主要成果:
- 患者从左侧VA形成了一个dAVF,从右侧VA形成一个逆行填充.
- 成功的栓塞导致神经症状完全消失.
- 在6个月后观察到宫脊椎骨折结合的放射性证据.
结论:
- 在与椎脊椎骨折相关的创伤性VA损伤后,随访血管造影至关重要.
- 有效管理VA dAVFs需要仔细考虑治疗选择.
- 这一案例强调了通过及时诊断和干预可以实现的成功结果.
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