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脊柱硬性动脉静脉的延迟诊断:一个病例报告和范围审查

Tatsuya Tanaka¹, Fumitaka Yamane¹, Ryohei Sashida¹

¹Department of Neurosurgery, International University of Health and Welfare, Narita Hospital, 852 Hatakeda, Narita 2868520, Japan.

Journal of clinical medicine

|February 10, 2024

概括

脊柱硬性动脉静脉 (SDAVF) 经常被误诊或被诊断为晚,从而对患者的治疗结果产生负面影响. 早期识别SDAVF症状对于及时治疗和改善预后至关重要.

科学领域:

神经学神经学
血管外科血管外科
放射学放射学是一门学科.

背景情况:

脊柱硬性动脉静脉 (SDAVF) 是一种常见的动脉分流疾病.
它主要影响中年到老年男性.
错误诊断和延迟诊断是管理SDAVF的重大挑战.

研究的目的:

调查SDAVF误诊和延迟诊断的原因.
确定诊断延迟对患者预后的影响.
制定预防SDAVF诊断延迟和错误诊断的战略.

主要方法:

在PubMed/MEDLINE上进行了全面的文献搜索.
关键词包括"脊柱硬性动脉静脉", "延迟诊断", "迟诊断" 和 "误诊".
分析了18篇文章,涵盖了965个SDAVF案件.

主要成果:

患者主要是男性 (71.8-100.0%),平均年龄为53.5-71.0岁.
错误诊断率在17.5-100.0%之间,有各种差异诊断.
诊断延迟的平均时间是从症状发作开始的10-15个月,从初始成像开始的9.2-20个月.
延迟诊断与较差的临床结果有关.

结论:

SDAVF经常被误诊或被诊断迟,导致不良的临床结果.
渐进的下肢虚弱,麻醉和膀直肠功能障碍需要对SDAVF进行调查.
脊柱MRI与血管造影对于诊断SDAVF至关重要,表现出特征性的T2高强度和流空异常.

关键词:

临床表现临床表现不同诊断神经影像检测结果错误诊断是一个错误的诊断.骨髓炎炎是一种肌肉炎.脊柱动脉静脉囊脊柱动脉静脉囊脊柱动脉静脉性形脊柱动脉静脉性形脊髓血管疾病是脊髓血管疾病.

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