圆盘囊和伪囊:单个中心的经验.
Vineet V Gorolay1, Brandon K K Fields1, Vinil N Shah1
1Department of Radiology and Biomedical Imaging, University of California, San Francisco, USA.
Interventional pain medicine
|September 6, 2024
概括
圆盘囊,罕见的脊髓病变,影响的患者群体比以前想象的更广泛. 虽然成像指导注射提供了暂时的缓解,但手术仍然是这些疾病的最终治疗选择.
科学领域:
- 脊柱成像和干预
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 椎间盘囊是一种罕见的脊髓病变.
- 现有的文献主要包括病例报告和手术系列,通常侧重于年轻的成年男性背部疼痛和根基病变.
研究的目的:
- 为了回顾一个单中心的经验与圆盘囊.
- 描述这些罕见病变在更广泛的患者群体中的表现,管理和结果.
主要方法:
- 对椎间盘囊的机构数据库的回顾性电子搜索.
- 对临床表现,成像发现,管理策略和患者结果的审查.
主要成果:
- 确定了9名患者 (4名女性,平均年龄为49.1岁).
- 病情呈现不同,包括背部疼痛,根细胞病变和无症状病例;一些患者先前接受过手术.
- 以成像为指导的程序提供了短期的缓解,而手术对一些人来说是最终的;结果是异质的.
结论:
- 椎间盘囊和伪囊存在于更广泛的年龄范围,并且具有比以前报告的更多样化的临床特征.
- 以成像为指导的干预措施提供了暂时的症状缓解.
- 需要进一步的研究,以优化这些罕见的脊髓病变的长期管理.
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