在患有结核性硬化综合体的幼儿中,手臂动脉动脉瘤和双侧后部循环中风
Juliette A Meyer1,2, Andrew Graydon3, Carl Muthukumaraswamy4
1Department of Paediatrics, The University of Auckland Faculty of Medical and Health Sciences, Auckland, New Zealand.
BMJ case reports
|November 14, 2023
概括
结核性硬化 (TS) 可以导致罕见的血管问题. 这个案例突出了一个患有TS的儿童,由于动脉问题而经历肢体缺血和中风,强调需要提高意识.
科学领域:
- 血管医学 血管医学
- 神经学 神经学
- 遗传学 是一个遗传学.
背景情况:
- 结核性硬化症 (TS) 是一种影响多个器官的遗传性疾病.
- 在TS中发生的血管并发症,特别是涉及中型和大型血管,并不常见.
- 脑梗塞和外周缺血是潜在的,尽管很少见的表现.
研究的目的:
- 报告一个患有结核性硬化症的儿童罕见的血管并发症病例.
- 为了说明TS中血管异常导致的外周缺血和中风的表现和管理.
- 为了强调考虑TS患者的神经或缺血症状的血管疾病的重要性.
主要方法:
- 一个被诊断为结核性硬化症的儿科患者的病例报告.
- 临床表现包括双边后部循环中风和右侧缺血.
- 诊断成像:数字减去血管造影和MR血管造影.
- 手术干预:手指脱节和手指甲骨关节截肢.
主要成果:
- 患者出现了双侧后部循环心脏病发作.
- 右手缺血是由于手臂动脉动脉瘤发生血栓形成.
- 图像显示,前臂的附带循环有限.
- 手术管理涉及由于不愈合的缺血性伤口而导致手指截肢.
结论:
- 血管并发症,包括动脉瘤,狭窄性闭合性疾病和栓塞性中风,在结核性硬化症中罕见但显著.
- 迅速识别和管理这些血管问题至关重要.
- 这一案例强调了TS的多样化和潜在的严重血管表现.
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