脑干堵塞作为洞穴性鼻持续性动脉静脉囊的初始表现,没有眼部症状
Hiroki Goto1, Atsushi Fujita1, Naoto Nakamura1
1Department of Neurosurgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Surgical neurology international
|November 11, 2024
概括
洞穴鼻腔硬性动脉静脉 (CSDAVF) 可以呈现异常. 这种罕见的病例涉及脊髓周围静脉排水,导致小脑缩和骨髓损伤,成功地用栓塞治疗.
科学领域:
- 血管神经学 血管神经学
- 干预性神经辐射学
背景情况:
- 洞穴鼻硬性动脉静脉 (CSDAVF) 是洞穴鼻附近的硬膜中的异常连接.
- 典型的CSDAVF涉及上眼脉并引起眼部症状.
- 这份报告详细介绍了一种不寻常的CSDAVF,其周围骨髓静脉排水表现为小脑缩和骨髓病变.
研究的目的:
- 报告一个罕见的CSDAVF病例与非典型的静脉排水.
- 要突出CSDAVF作为脑干静脉拥堵的差异诊断.
主要方法:
- 数字减去血管图证实了诊断和排水模式 (康纳德型V).
- 通过静脉栓塞是通过被堵塞的左下层鼻进行的.
- 使用白金线圈实现了超选择性的分流阻塞.
主要成果:
- 患者出现了头和渐进的步态障碍.
- 成功通过静脉栓塞导致症状立即改善.
- 手术后的过程是没有事件的.
结论:
- 在出现脑干静脉拥堵的患者中,应考虑使用CSDAVF.
- 在CSDAVF中异常的静脉排水模式可以导致各种神经系统缺陷.
相关概念视频
Veins of Head and Neck
1.5K
The blood drainage from the head and neck is primarily managed by three pairs of veins: the external jugular, internal jugular, and vertebral veins. The external jugular veins drain superficial scalp and face structures, passing over the sternocleidomastoid muscles to empty into the subclavian veins.
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
1.5K
Arteries of the Head and Neck
1.1K
The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
1.1K
The Arch of Aorta
574
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
574
Glaucoma: Overview
508
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
508
Angle Closure Glaucoma: Treatment
438
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
438
Endocarditis II: Clinical features and Diagnostic Tests
2
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
2


