长期动脉静脉囊的椎结的椎结
Charalampia Koutsioumpa1, Dave Ho2,3, Cory Siegel2,3
1Neurology Department, Brigham and Women's Hospital, Boston, Massachusetts, USA c_koutsioumpa@g.harvard.edu.
Practical neurology
|November 10, 2023
概括
诊断持续性动脉静脉囊可能是困难的. 在初始扫描正常时,重复血管造影对于识别这些复杂的椎结病变至关重要.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 长期动脉静脉 (dAVFs) 在骨结处呈现诊断挑战.
- 渐进性骨髓病变可能是出现的症状,需要进行彻底的调查.
研究的目的:
- 为了突出椎结口长期动脉静脉囊的诊断困难.
- 强调重复血管造影在识别具有罕见动脉养器的dAVF中的实用性.
主要方法:
- 一个70岁的男性患有亚急性渐进性骨髓病的病例报告.
- 最初的MRI成像表明持续的AV,然后进行正常的诊断血管造影.
- 重复脊髓成像和血管造影以确认诊断.
主要成果:
- 最初的诊断血管图无法识别持续的AV.
- 重复血管造影显示出一个源自脑膜底动脉动脉动脉的静脉下静脉动脉.
- 患者在手术干预后得到改善 (逆肌切除和剪切).
结论:
- 初始血管造影可能无法检测出所有持续性AV囊.
- 临床和放射性演变需要重复血管造影以诊断.
- 识别罕见的动脉食者对于成功治疗持续性AV囊至关重要.
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