持续性坐骨静脉深静脉血栓的二次性坐骨炎:文学上的第一个案例. 一个说明性的案例
Vittorio Orlando1, Massimo Benenati2, Gianluca Galieri1
1Department of Neuroscience, Catholic University of the Sacred Heart, Rome, Italy.
Journal of neurosurgery. Case lessons
|August 26, 2024
概括
坐骨髓炎可能源于罕见的静脉异常,而不仅仅是常见的磁盘问题. 这种病例揭示了深静脉血栓症和不寻常的静脉解剖学压缩坐骨神经,通过抗凝治疗解决.
科学领域:
- 血管解剖学 血管解剖学
- 神经学 神经学
- 放射学 放射学是一门学科.
背景情况:
- 坐骨神经痛通常是由腰部神经的压缩引起的 (例如,椎间盘,狭窄).
- 一名52岁的男子在COVID-19后出现了坐骨髓 sciatica,最初怀疑是与盘相关的.
- 这一案例强调了需要考虑不常见的脑脊髓疼痛病因.
研究的目的:
- 在患有COVID-19后症状的患者中调查一种不寻常的 sciatica 原因.
- 识别和描述导致坐骨神经压缩的罕见静脉异常.
主要方法:
- 盆腔MRI揭示了影响左坐骨神经的静脉结构.
- 盆腔CT血管图显示左侧持续性坐骨静脉的深静脉血栓 (DVT).
- 结果表明有两种罕见的,不同的静脉解剖变异.
主要成果:
- 静脉和DVT被确定为坐骨神经压缩的原因.
- 开始对DVT进行抗凝药治疗.
- 实施了疼痛管理策略,导致血栓形成的进展.
结论:
- 当临床表现和初始成像不一致时,全面的诊断至关重要.
- 错误诊断的坐骨髓炎可能会导致不必要的手术干预.
- 罕见的静脉异常应在坐骨髓炎的差异诊断中考虑.
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