大西洋轴心不稳定性与持续的第二个区间动脉
Batuk Diyora1, Ravi Wankhade1, Kavin Devani1
1Department of Neurosurgery, Lokmanya Tilak Municipal General Hospital, Sion, Mumbai, Maharashtra, India.
Asian journal of neurosurgery
|January 1, 2024
概括
先天性亚特兰托轴突变可以导致脊椎动脉损伤. 涉及脊椎动脉动员的手术管理,以CT血管学为指导,显著改善了患者的病情.
科学领域:
- 神经外科 神经外科
- 血管解剖学 血管解剖学
- 儿科整形外科 儿科整形外科
背景情况:
- 脊节的解剖学,特别是脊椎动脉,对于外科手术至关重要.
- 由于脊椎动脉的异常路径,先天性atlantoaxial脱位带来了独特的挑战,增加了受伤风险.
- 术前计算机断层扫描 (CT) 血管造影对于识别脊椎动脉异常和手术规划至关重要.
研究的目的:
- 突出了手术前成像在管理atlantoaxial脱位的重要性.
- 描述与持久的第二个间隔动脉的atlantoaxial脱位的手术管理.
- 为了强调脊椎动脉动员在外科手术期间的作用.
主要方法:
- 一个13岁男孩的案例介绍,他患有部疼痛和性四肢.
- 放射性评估包括部和大脑血管的CT血管造影.
- 涉及后部亚特兰索轴固定和脊椎动脉调动的手术.
主要成果:
- 电脑图谱血管学揭示了一个异常的脊椎动脉循环,这是持续的第二个断层动脉的次要原因.
- 患者经历了成功的后部atlantoaxial固定与脊椎动脉动员.
- 在术后观察到显著的临床改善.
结论:
- 持久的第二个断层动脉是一种罕见的异常的脊椎动脉在atlantoaxial脱位过程的原因.
- 在这种情况下,手术前CT血管造影对于手术规划至关重要.
- 脊椎动脉动员是预防手术内损伤和取得良好的结果的关键技术.
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