一个模仿肺栓塞的myxopapillary Ependymoma转移:一个说明性的案例
Adeline Fecker1, Kayla A Maanum1, Maryam N Shahin2
1School of Medicine, Oregon Health & Science University, Portland, Oregon, United States.
Asian journal of neurosurgery
|August 29, 2024
概括
脊柱瘤 (Myxopapillary ependymomas,MPE) 是一种罕见的脊柱瘤,可以转移. 这一案例突出显示了从神圣MPE引起的肺动脉转移,强调了对标准化MPE治疗和对脊髓瘤的警的需要.
科学领域:
- 神经瘤学神经瘤学
- 脊髓新生体 脊髓新生体
- 医学案例报告 病例报告
背景情况:
- 髓皮质上垂体瘤 (MPE) 是一种罕见的瘤,通常局限于神经轴.
- 完全切除MPE的手术切除与改善生存率有关,但辅助疗法缺乏标准化.
- 来自MPE的转移异常罕见.
研究的目的:
- 为了报告一个罕见的从一个神圣的myxopapillary尾瘤的血管内转移病例.
- 为了强调在患有无法解释的慢性背痛的患者中考虑脊髓瘤的重要性.
- 倡导标准化治疗方案用于Myxopapillary尾瘤.
主要方法:
- 一个29岁的女性患有呼吸障碍和心力衰竭的案例介绍.
- 诊断成像显示肺动脉质量与血栓塞栓症一致.
- 肺部质量的相关性与底层的交叉骨髓状尾瘤.
主要成果:
- 肺动脉质量被确定为从神圣MPE的血管内转移.
- 患者出现了暗示肺栓塞的症状.
- 转移发生了尽管MPE具有低转移潜力.
结论:
- 这个案例说明了异常呈现的Myxopapillary ependymoma转移到肺动脉的转移.
- 在慢性,不明原因的背痛的情况下,对脊髓瘤的临床怀疑增加是合理的.
- 对MPE治疗策略的标准化对于改善患者的治疗结果至关重要.
相关概念视频
Pulmonary Embolism I: Introduction
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
Pulmonary Embolism III: Nursing Management
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
Pulmonary Edema II: Pathophysiology
Pulmonary edema is the accumulation of fluid in the interstitial and alveolar spaces of the lungs, impairing gas exchange and oxygen delivery. It may be cardiogenic or noncardiogenic, but both reduce oxygenation and lung compliance.Cardiogenic Pulmonary EdemaCardiogenic edema results from increased hydrostatic pressure in pulmonary capillaries, usually due to left ventricular dysfunction from myocardial infarction, heart failure, or valvular disease. Ineffective cardiac pumping causes blood to...
Pulmonary Embolism I: Introduction
A blood clot, or thrombus, is a semi-solid mass composed of fibrin, platelets, and red blood cells. When it forms within a vessel, it can obstruct blood flow, known as thrombosis. If part of the clot detaches, it becomes an embolus that can travel and block distant vessels. When this occurs in the pulmonary arteries, it causes a condition known as pulmonary embolism (PE).Origin and ImpactMost often, the embolus originates from a thrombus in the deep veins of the lower limbs, a condition called...


