胸根相关的内腔外腔瘤呈现下arachnoid 出血:说明性的案例
Vicente de Paulo Martins Coelho Junior1, Nathaniel Toop1, Peter Kobalka2
11Departments of Neurological Surgery and.
Journal of neurosurgery. Case lessons
|April 1, 2024
概括
脊柱洞瘤很少见,但这种病例突出显示了它们可能导致下关节出血 (SAH) 和骨髓病变的潜力. 术内超声波 (IUS) 对于诊断和指导这种罕见的脊髓损伤的切除至关重要.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
- 放射学 放射学是一门学科.
背景情况:
- 脊柱洞形只占所有洞形的5%,与胸根相关的亚型非常罕见.
- 只有14例胸根洞形病例被记录在案,其中仅有4例出现了下关节出血 (SAH).
研究的目的:
- 报告一种罕见的脊柱洞瘤病例,呈现出下大脑下下垂体出血和随后的胸部骨髓病变.
- 强调手术内超声波 (IUS) 在管理具有挑战性的脊髓病变中的实用性.
主要方法:
- 一名65岁的女性患有密码性SAH,由于推迟呈现胸部骨髓病变,因此接受了进一步调查.
- 手术前的成像没有确定性,促使怀疑椎间盘的外科干预.
- 在手术中使用超声波 (IUS) 识别了一个内腔外骨膜性病变,后来被证实为洞穴瘤.
主要成果:
- 患者出现了头痛,随后是胸部背部疼痛和骨髓病变.
- 最初的成像表明T9-10椎间板,但IUS显示了一个内膜外膜洞穴瘤.
- 洞穴瘤的完整切除成功进行,患者康复良好.
结论:
- 这一案例强调了在密码性SAH中考虑脊柱病因的重要性,即使没有最初的脊柱症状.
- 术内超声波 (IUS) 是复杂的脊柱手术中术内评估和手术规划的宝贵工具.
- 手术计划可能需要根据手术内发现进行调整,特别是在手术前成像模糊时.
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