在婴儿的外部头症中,状孔狭窄
Giuseppe Cinalli1, Giuliana Di Martino2, Carmela Russo3
1Department of Pediatric Neurosurgery, Santobono-Pausilipon Children's Hospital (AORN), Naples, Italy. giuseppe.cinalli@gmail.com.
概括
外部头 (EH) 的婴儿比对照体有显著较小的关孔 (JF). 这种关孔狭窄与静脉阻塞的增加有关,这表明它在EH病理生理学中起着关键作用.
科学领域:
- 神经成像是一种神经成像.
- 儿科神经学 儿科神经学
- 血管解剖学 血管解剖学
背景情况:
- 外部头 (EH) 是一种影响婴儿的疾病.
- 人们还没有完全理解EH的病理生理学.
- 假设状孔隙 (JF) 狭窄有助于持续静脉鼻变化和EH中静脉外流阻力增加.
研究的目的:
- 测量和比较患有EH的婴儿和对照组的关孔 (JF) 的大小.
- 调查JF大小,持续静脉鼻变化和EH中的静脉外流阻力之间的关联.
- 探索定位性脑对EH婴儿中JF尺寸和静脉阻塞的潜在影响.
主要方法:
- 用相对比磁共振静脉血管造影 (angio MRV PCA3D) 来测量JF区域.
- 在81名患有EH的婴儿中分析了JF区域,与54名对照婴儿相比.
- 评估了静脉阻塞分级得分 (VOGS) 和顶形不对称指数.
主要成果:
- 与对照组相比,患有EH的婴儿表现出明显较小的JF面积 (平均JF面积:51.6毫米2对比57.0毫米2).
- 在EH患者中,较小的JF区域与两侧更高的VOGS显著相关.
- 在EH患者中,定位性脑与关节肌面积的减少和平面侧的VOGS增加有关.
结论:
- 与对照人群相比,上骨的平均尺寸在患有EH的婴儿中显著小.
- 状孔狭窄与静脉阻塞的增加有关,这表明它直接影响了持续性鼻光和静脉外流阻力.
- 定位脑症可能进一步导致EH的婴儿减少JF面积,并在平面侧增加静脉阻塞.
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