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由于发育性静脉异常而导致的阻塞性水:儿科成像病例系列
Livja Mertiri1, Vikramjeet Singh2, Francesca Gentile3,4
1Edward B. Singleton Department of Radiology, Texas Children's Hospital, Baylor College of Medicine, 6701 Fannin Street, Suite 470, Houston, TX, 77030, USA. lxmertir@texaschildrens.org.
Neuroradiology
|October 28, 2024
概括
发育性静脉异常 (DVA) 很少会导致儿童的阻塞性水头. 这项研究突出了成像发现,临床表现和这种罕见疾病的管理,强调了其在儿科水头诊断中的重要性.
科学领域:
- 儿科神经放射学 儿科神经放射学
- 神经成像是一种神经成像.
- 血管形症 血管形症
背景情况:
- 发育性静脉异常 (DVA) 是一种不常见的血管形.
- 大脑瘤是儿科患者中阻塞性水脑的一个罕见病因.
- 识别DVA诱导的水头对于及时诊断和管理至关重要.
研究的目的:
- 在儿童中呈现DVA诱导的阻塞性水脑病例系列.
- 描述这种罕见实体的特征性成像发现.
- 提高儿科神经放射学家对DVA作为水头的差异诊断的认识.
主要方法:
- 从两个三级儿童医院的电子病例记录的回顾性审查.
- 纳入标准:儿科患者确诊的DVA导致阻塞性水头.
- 收集的数据:诊断时的年龄,性别,MRI发现,临床表现,症状,治疗和随访.
主要成果:
- 在儿童中发现了5例DVA诱导的阻塞性水脑.
- 诊断时的平均年龄为2.9岁;两个病例是在产前诊断的.
- 所有病例都显示DVA导致水道狭窄;一个有多个DVA.
结论:
- DVA诱导的水道狭窄,虽然很少见,但必须考虑儿科水脑的差异,包括产前查.
- 大脑MRI,特别是对比后的T1WI和SWI序列,有助于可视化DVA的特征性"头骨骨".
- 图像检测对于检测DVA和相关并发症,如出血至关重要.
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