前脑动脉的双边内光源:一个说明性的案例
Neil Majmundar1, Joseph Quillin2, James K Liu3
11Department of Neurosurgery, Hackensack Meridian Health-Jersey Shore University Medical Center, Neptune, New Jersey.
Journal of neurosurgery. Case lessons
|November 13, 2023
概括
一种罕见的解剖学变异,前脑动脉 (ACA) 的双边 infraoptic 起源,可以使骨底部手术复杂化. 对于神经外科医生来说,意识到这种ACA变异对于预防手术后并发症至关重要.
科学领域:
- 神经外科 神经外科
- 血管神经学 血管神经学
- 解剖学研究 解剖学研究
背景情况:
- 前脑动脉 (ACA) 的双边下光源是一种罕见的解剖变异.
- 这种变体涉及来自视神经下方的内动脉 (ICA) 产生的ACA.
研究的目的:
- 讨论光下ACA变种的配置,患病率和潜在原因.
- 为了突出这一变异在前头骨底部手术中的临床意义.
主要方法:
- 一个67岁的女性患有腔膜瘤的病例介绍.
- 通过修改的轨道骨切除术进行手术切除.
- 强调早期识别异常前脑动脉解剖学.
主要成果:
- 患者的脑膜瘤涉及左侧内动脉及其分支.
- 早期识别异常的ACA起源对于安全的瘤切除至关重要.
- 这个案例强调了认识到这种血管异常的重要性.
结论:
- 低光学ACA变种,虽然经常与动脉瘤一起出现,但与所有前头骨底部病理有关.
- 如果未能识别出这种变体,可能会导致严重的手术内并发症.
- 神经外科医生在手术规划时必须考虑这种解剖变异.
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