在慢性腹腔内膜瘤的内血管栓塞后,脑膜瘤的完全解脱
Ehsan Dowlati1, Elyza Larson2, Mark Tierney3
1Department of Neurosurgery, University of Michigan Michigan Medicine, Ann Arbor, MI, USA edowlati@gmail.com.
Journal of neurointerventional surgery
|July 3, 2024
概括
本案例研究报告了中脑膜动脉 (MMA) 血管内栓塞后脑膜瘤的完全解决. 后续的MRI扫描证实了瘤的存在.
科学领域:
- 神经外科 神经外科
- 神经辐射学神经辐射学
- 血管神经学 血管神经学
背景情况:
- 脑膜瘤通常是脑膜的良性瘤.
- 正常压力脑症 (NPH) 可能伴有走路障碍和跌倒.
- 内血管栓塞是一种微创手术,用于治疗各种血管疾病.
研究的目的:
- 介绍第一个在内血管栓塞后完全消除脑膜瘤的报告案例.
- 在患有偶发性脑膜瘤和NPH的患者中记录栓塞的长期结果.
主要方法:
- 一名患有NPH的患者接受了心室膜关节 (VP) 突变安置.
- 患者患上了皮下血液瘤 (SDH),需要进行手术疏散.
- 进行了双边中脑膜动脉 (MMA) 栓塞,包括右前脑膜瘤.
主要成果:
- 脑膜瘤通过右MMA成功地栓塞.
- 在手术后1年和2年进行的随访磁共振成像 (MRI) 显示脑膜瘤完全消失.
- 在整个治疗过程中,患者在神经系统上保持稳定.
结论:
- MMA的内血管栓塞可以导致脑膜瘤的完全消失.
- 这种方法为精选的脑膜瘤病例提供了潜在的最小侵入性治疗选择.
- 需要进一步的研究来评估这种技术在更大的队列中的有效性和安全性.
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