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双边中枢神经和手臂动脉变异:一个病例报告
Mathangi Rajaram-Gilkes1, Julian Burwell1, Kelly Barr1
1Medical Education, Geisinger Commonwealth School of Medicine, Scranton, USA.
Cureus
|January 30, 2024
概括
本案例研究详细介绍了腔中中枢神经和臂动脉罕见的双边解剖变异. 意识到这些血管和神经变异对于准确的诊断和手术安全至关重要.
科学领域:
- 人体解剖学 解剖学 解剖学
- 临床医学 临床医学
- 手术解剖学手术解剖学
背景情况:
- 医生需要对血管和神经变异有充分的了解,才能进行准确的诊断.
- 解剖学变异,特别是在上肢,可以模仿病理和复杂的手术程序.
- 神经形成和过程的变化通常与周围结构如血管,带和肌肉有关.
研究的目的:
- 报告一个罕见的中枢神经和手臂动脉在肘穴中双边缺失的病例.
- 为了强调 cubital fossa 的解剖学变异的临床和手术意义.
主要方法:
- 对患者呈现特定临床症状的病例研究分析.
- 对上肢血管和神经通路的双边解剖研究.
主要成果:
- 中间神经和臂动脉在肘穴中双边缺席.
- 前肌源自于远端的手腕.
- 臂动脉在手臂骨中三分之一分为半径动脉和椎动脉.
- 中间神经在前动脉下面与关动脉相连.
结论:
- 这种双边解剖变异,包括腔中缺少中枢神经和臂动脉,在医学文献中是前所未有的.
- 意识到这些变异对于准确诊断和尽量减少手术后的并发症至关重要,例如动脉静脉瘤的产生和骨折的修复.
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