与自发性内低血压相关的获得的桃体:病例报告
Lili Chen1, Haijian Wu2, Xingyue Hu1
1Department of Neurology, Xiasha Campus, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Frontiers in neurology
|February 8, 2024
概括
在自发性内低血压 (SIH) 患者中,获得的小脑桃体脱落是罕见的. 有针对性的外周周道血液贴片 (EBP) 有效地治疗SIH,逆转桃体,缓解症状.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 获得的小脑桃体落是自发性内低血压 (SIH) 患者的罕见并发症.
- 这种情况与自发的脊髓脑脊液 (CSF) 泄漏有关.
- 评估SIH患者的神经成像变化与桃体脱落治疗外周血块 (EBP) 是至关重要的.
研究的目的:
- 为了评估神经成像变化与获得的小脑桃体脱落在SIH患者.
- 评估针对性外周血块 (EBP) 在治疗桃体的SIH治疗中的有效性.
- 为了确定EBP治疗是否可以逆转桃体下降的放射性发现.
主要方法:
- 追溯审查5个SIH病例,其中有获得的小脑桃体脱落,接受了针对性的EBP治疗.
- 临床和神经成像特征的分析,包括部MRI和脊柱MRI骨髓/水图.
- 评估EBP治疗后症状的消失和放射性变化.
主要成果:
- 在最初的MRI中,所有5名患者都出现了静止性头痛和小脑桃体下降 (≥5毫米).
- 使用MR技术确定了脊髓中枢神经的泄漏.
- 所有患者在2-3次针对性EBP后都经历了症状缓解,随后的MRI显示了桃体下降的逆转.
结论:
- 获得的桃体是SIH的潜在表现,原因是脊髓CSF泄漏.
- 针对性EBP治疗可以有效地解决这些患者的症状.
- 在SIH中,EBP疗法可以导致小脑桃体下降的放射性逆转.
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