婴儿创伤性围动脉瘤:一个说明性的案例
Journal of neurosurgery. Case lessons
|March 11, 2024
概括
创伤性动脉瘤是婴儿非意外头部创伤 (NAT) 的罕见后果,在虐待头部创伤评估中需要考虑. 早期发现和治疗对于在这些具有挑战性的儿科病例中获得更好的结果至关重要.
科学领域:
- 儿科神经外科 儿科神经外科
- 神经辐射学神经辐射学
- 儿科重症监护 儿科重症监护
背景情况:
- 创伤性动脉瘤是婴儿非意外头部创伤 (NAT) 的罕见但严重并发症.
- 儿童中NAT的发病率正在上升,在评估中考虑创伤性动脉瘤的重要性正在增加.
- 这些动脉瘤是儿童患者表现出滥用头部创伤迹象的一个重大问题.
研究的目的:
- 为了突出创伤性脑内动脉瘤的发生和管理,在婴儿二次的滥用头部创伤.
- 强调与这些伤害相关的诊断挑战和不良预后.
主要方法:
- 一个24天大的婴儿出现神经应急症状的案例介绍.
- 诊断双边腹膜下血瘤,伤和脑下关节下出血.
- 通过磁共振血管造影识别右侧周围的创伤性动脉瘤.
- 动脉瘤的治疗使用线圈和奥尼克斯栓塞.
主要成果:
- 婴儿出现了虐待的迹象,包括皮下血瘤和伤.
- 磁共振血管造影证实了右侧周创伤性动脉瘤.
- 创伤性动脉瘤通过内血管栓塞成功治疗.
结论:
- 创伤性内动脉瘤是儿科虐待创伤中罕见但至关重要的发现.
- 这些动脉瘤应该在高能创伤和相关的内病理的情况下被怀疑.
- 尽管有进展,但婴儿创伤性动脉瘤的识别和治疗仍然具有挑战性,由于扩散性损伤,预后受到警.
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