头骨外脊椎动脉受伤 脊椎动脉受伤
Michael J Lee1, Douglas J Weaver, Mostafa H El Dafrawy
1From the Department of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago, Chicago, IL.
概括
椎动脉损伤 (VAI) 来自椎脊柱创伤可能导致中风. 外科医生必须了解VA解剖学,并使用成像来防止阳性损伤,从而能够及时治疗以避免神经损伤.
科学领域:
- 神经外科 神经外科
- 血管解剖学 血管解剖学
- 创伤外科 手术 创伤外科
背景情况:
- 配对的脊椎动脉 (VAs) 提供后脑循环,并且在椎创伤时容易受伤.
- 脊椎动脉损伤 (VAI) 是后部循环中风的重要危险因素,这是一个可怕的并发症.
- 脊椎外科医生需要详细了解VA解剖学,以防止在椎手术过程中发生阴性损伤.
研究的目的:
- 为了强调理解脊椎动脉解剖学在椎脊柱手术的背景下的重要性.
- 为了突出催生性脊椎动脉损伤的风险及其潜在的后果,如中风.
- 强调手术前成像和VAI的适当管理策略的必要性.
主要方法:
- 对椎动脉的解剖学考虑的回顾.
- 讨论与前和后脊椎手术相关的风险.
- 强调使用先进的成像技术进行手术前评估,以确定解剖变异.
- 对阳性VAI的治疗选择概述.
主要成果:
- 椎脊椎损伤对脊椎动脉构成风险,可能导致中风.
- 前和后脊椎手术都可能无意中伤害VA.
- 静脉动脉的解剖学变异需要经过精心的手术前评估,以防止产生静脉动脉的损伤.
- 阳性VAI可以通过吸管,带,修复或内血管干预来管理.
结论:
- 对于脊柱外科医生来说,对脊椎动脉解剖学的彻底了解至关重要,以防止阳性损伤.
- 术前成像对于识别危险的VA变异和减轻手术风险至关重要.
- 及时识别和管理VAI对于预防严重的神经缺陷,包括中风至关重要.
相关概念视频
01:26Arteries of the Head and Neck
1.2K
The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
1.2K
01:10The Arch of Aorta
638
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
638
01:19Veins of Head and Neck
1.8K
The blood drainage from the head and neck is primarily managed by three pairs of veins: the external jugular, internal jugular, and vertebral veins. The external jugular veins drain superficial scalp and face structures, passing over the sternocleidomastoid muscles to empty into the subclavian veins.
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
1.8K