中脑膜动脉栓塞在慢性腹腔内血瘤在后关闭正常压力脑水
Michael Meggyesy1, Yuanxuan Xia1, Gwendolyn Williams2
1Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
World neurosurgery
|December 15, 2024
概括
与标准护理相比,中脑膜动脉栓塞 (MMA-E) 并没有加速慢性脑下血瘤 (cSDH) 解决方案,与常规护理相比. 需要对MMA-E进行进一步的调查.
科学领域:
- 神经外科 神经外科
- 干预性放射学 干预性放射学
背景情况:
- 轮回头症患者面临过度排水导致的慢性腹腔内血瘤 (cSDH) 风险.
- 中脑膜动脉栓塞 (MMA-E) 对非偏移患者有希望,但对偏移患者的影响尚不清楚.
研究的目的:
- 与标准护理 (SOC) 相比,评估MMA-E在常压脑症患者的疗效.
主要方法:
- 一个比较系列的九个分流NPH患者cSDHs接受SOC与七个患者接受SOC加MMA-E.
- 患者根据血液瘤的大小和年龄进行了匹配.
- 随访包括连续CT扫描监测症状,血瘤大小和分辨时间.
主要成果:
- 在接受MMA-E治疗的7名患者中,有6名患者实现了cSDH分辨率.
- SOC的中位分辨时间为89天 (包括手术),SOC加MMA-E的中位分辨时间为88天.
- 一名MMA-E患者在504天内经历了延迟解读.
结论:
- 与标准护理相比,MMA-E并没有证明位诱导cSDH的更快的解决率.
- 在这个特定的患者队列中,MMA-E的实用性和最佳使用需要进一步研究.
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