脊椎动脉解剖是腹腔脊柱外周血液瘤的潜在原因
Joana Tavares1, Inês Freire2, Cristina Branco2
1Neurosurgery Department, Centro Hospitalar de Lisboa Ocidental EPE, Lisboa, Portugal joanamst@hotmail.com.
BMJ case reports
|April 10, 2024
概括
脊柱外周血腫很少見,尤其是在前面. 这一案例凸显了脊椎动脉剖析作为一个不寻常的原因,强调了彻底血管检查的必要性.
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:
- 自发的脊柱外周血瘤 (SEH) 是罕见的 (0.1/100,000/年).
- 前部SEH是特别罕见的,因为持续袋粘附.
- 脊椎动脉解剖 (VAD) 作为SEH的原因非常罕见.
研究的目的:
- 报告一个罕见的宫前和胸椎脊柱外周血液瘤病例.
- 为了确定脊椎动脉剖析作为潜在的原因.
- 讨论诊断和管理的影响.
主要方法:
- 一个年轻妇女的案例介绍,她患有四重.
- 诊断成像检查,以确定腹膜外周血瘤和脊椎动脉剖析.
- 手术减压 (细膜切除术) 和内血管治疗 (支架) 的剖析.
主要成果:
- 确定了从C2到T10的大型腹膜外周血瘤.
- 血液瘤是由右脊椎动脉的非创伤解剖动脉瘤引起的.
- 患者经历了成功的突发性细叶切除术和内血管支架.
结论:
- 脊椎动脉解剖可以导致自发的前脊椎外周血液瘤.
- 腹部宫和上胸部SEH需要对脊椎动脉完整性的调查.
- 涉及神经外科和干预放射学的多学科方法至关重要.
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