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中枢神经系统的洞穴性形:一个国际共识声明

Anastasia Tasiou¹, Alexandros G Brotis¹, Adamantios Kalogeras¹

¹Department of Neurosurgery, University Hospital of Larissa, Faculty of Medicine, University of Thessaly, Larissa, Greece.

|November 29, 2023

概括

这项研究建立了有关管理中枢神经系统洞穴形 (CMs) 的专家共识. 治疗决策的关键因素包括患者年龄,症状和CM特征,指导神经外科干预.

科学领域:

神经学神经学
神经外科神经外科
血管形症血管形症

背景情况:

中枢神经系统洞穴性形 (CMs) 是一种罕见的血管病变.
由于无症状的呈现和有症状病例的有争议的治疗策略,他们的管理经常受到争议.

研究的目的:

建立专家共识,以最佳管理无症状和症状的中枢神经系统洞穴形.
为了指导神经外科医生在CM治疗的决策过程中.

主要方法:

开发了一份17项调查问卷,解决了CM治疗的有争议的方面.
为了达成共识,进行了涉及19名专家的三阶段德尔菲进程.
70%的协议率被设定为达成共识的门.

主要成果:

在影响手术干预的因素上达成共识:患者年龄,症状,出血复发,CM位置和大小.
先进的MRI技术对于手术规划有价值.
观察是无症状的雄辩或深层的CMs常见的;切除被认为是症状或经常出血的深层CMs.
无症状的出血和发展性静脉异常没有血红素并不是切除的迹象.

结论:

德尔菲共识为管理中枢神经系统洞穴性形的挑战性病例的专家常规实践提供了一个框架.
这种共识有助于为CM患者做出复杂的治疗决策.

关键词:

洞穴性形是一个形.达成共识达成共识根深蒂固的 - 根深蒂固的发展性静脉异常发展性静脉异常立体无线电手术是什么意思手术手术手术术术

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