脑静脉鼻腔支架和球栓塞用于脉动性耳声:一个病例报告
Mengjiao Xu1, Xiaobo Dong1, Can Zheng1
1Department of Brain Disease III, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing, China.
Frontiers in neurology
|February 21, 2024
概括
脉动性耳 (PT),一种罕见的心跳同步的疾病,在患有静脉鼻狭窄和球形的患者中成功治疗. 支架和栓塞显著改善了症状,在31个月内没有复发.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 脉冲性耳 (PT) 是一种罕见的疾病,通常是由血管病变引起的,可能导致听力损失和精神健康问题.
- 静脉PT比动脉PT更常见,治疗选择包括开放式或干预性手术.
研究的目的:
- 为了呈现出脉动性耳声的病例,由静脉光线狭窄和球形造成的.
- 描述这一特定PT病例的成功干预治疗.
- 突出支架和栓塞在治疗复杂PT的潜力.
主要方法:
- 评估了一名59岁的女性患者,患有PT,听力损失,焦虑,失眠和抑郁症.
- 诊断成像包括MRV,CT和DSA,揭示了右半球鼻狭窄和高球 (JB) 与墙壁脱光.
- 治疗包括sigmoid鼻支架和JB栓塞使用弹线圈.
主要成果:
- 患者在干预后的脉动性耳症状显著改善.
- 在31个月的随访期间,没有观察到PT的复发.
- 结合了西格毛状鼻狭窄症和高JB与墙壁异常的综合状况,成功管理了.
结论:
- 西格鼻腔支架和JB栓塞可以是PT的有效治疗方法.
- 这一案例证明了一种罕见的静脉异常组合导致PT的成功结局.
- 需要进一步的研究,以解决潜在的支架后并发症.
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