弓猎人综合征与旋转大西洋轴不稳定:一种罕见的关联
Malini S1, Anu C Thomas1, Sajeev S Vadakkedam1
1Department of Neurosurgery, Indo American Hospital, Institute of Brain and Spine, Vaikom, Kerala, India.
Asian journal of neurosurgery
|August 29, 2024
概括
弓猎人综合征 (BHS) 是脊椎动脉缺陷的罕见原因,可能与儿童的部不稳定有关. 早期诊断需要高度怀疑脊椎动脉异常在儿科脊结不稳定.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 儿科整形外科 儿科整形外科
背景情况:
- 弓猎人综合征 (BHS) 的特征是旋转性脊椎动脉 (VA) 不足.
- 随着旋转的atlantoaxial不稳定性的同时发生的BHS是非常罕见的.
研究的目的:
- 报告一个罕见的儿科弓猎人综合征病例,与旋转的亚特兰轴不稳定性相关.
- 为了强调诊断挑战和VA异常的考虑在年轻患者的椎节不稳定.
主要方法:
- 一个儿科病人的病例报告,在子旋转时呈现VA缺陷症状.
- 诊断工具包括挑性数字减去血管学和动态部计算机断层扫描.
- 评估的重点是确定旋转的C1-C2不稳定性.
主要成果:
- 在部旋转过程中,患者呈现出与VA不足一致的症状.
- 在C1-C2水平的旋转不稳定性被确定为潜在原因.
- 血管造影和动态CT证实了诊断和不稳定.
结论:
- 应该怀疑VA异常在儿科患者与椎节不稳定.
- 在这个人群中,高的怀疑指数对于准确诊断BHS至关重要.
- 早期和彻底的评估对于管理儿科BHS的不稳定性至关重要.
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