从头骨神经的洞穴性形:一个系统审查与新的分类和患者层面的分析
Ziyang Li1, Liangpeng Chen1, Junmei Wang2
1Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing , China.
Neurosurgery
|June 6, 2024
概括
头骨神经洞穴性形 (CN CMs) 是罕见的. 本综述详细介绍了它们的流行病学,临床特征和治疗方法,确定了预后因素,如手术前神经功能,以指导这种罕见疾病的临床决定.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 血管形症 血管形症
背景情况:
- 头骨神经 (CN) 洞穴性形 (CMs) 是非常罕见的.
- 由于审查不足,缺乏对CN CMs的全面了解.
- 本研究解决了对CN CMs进行详细概述的需要.
研究的目的:
- 系统地审查所有已公布的CN CMs病例.
- 总结CNCMs的流行病学,临床表现,治疗和预后.
- 确定影响CNCMs预后的因素.
主要方法:
- 在主要数据库 (PubMed,SCOPUS,Web of Science,Cochrane) 进行了系统的搜索.
- 分析了所有已识别的CNCM病例.
- 根据解剖起源对CNCM进行了分类,并总结了患者数据.
主要成果:
- 该分析包括108篇文章中的127例患者病例,视神经受到影响最多.
- 关节神经元的CM被分为内部神经元,周围神经元和外部神经元类型.
- 手术前的神经功能和一种新的分类系统与预后有显著的关联 (P < .001).
结论:
- 本系统性审查提供了CN CMs的第一个全面描述,并确定了关键的预后因素.
- 拟议的CN CMs分类可以指导手术内治疗选择.
- 这些发现将有助于临床决策和为这种罕见疾病制定临床指南.
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