三次脊柱长期动脉静脉囊
Davide Boeris1, Martina Giordano2, Giacomo Petrella3
1Neurosurgery, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy davide.boeris@ospedaleniguarda.it.
BMJ case reports
|January 14, 2025
概括
多重脊柱硬性动脉静脉 (SDAVFs) 是罕见的. 这一病例和文献综述表明,不受控制的液体转移,而不是手术本身,可能会导致多个SDAVF患者的术后血瘤.
科学领域:
- 神经外科 神经外科
- 血管神经学 血管神经学
- 放射学 放射学是一门学科.
背景情况:
- 脊柱硬性动脉静脉 (SDAVFs) 是最常见的脊柱血管形.
- 发生同步或超时的多个SDAVF被认为是不寻常的.
- 在SDAVF治疗后,可能会出现诸如血瘤形成之类的术后并发症.
研究的目的:
- 报告一个不同寻常的病例,一个患有三个不同的SDAVF的患者在一个环境中接受了手术治疗.
- 审查有关多重SDAVF患者结局的文献.
- 在多个SDAVF病例中调查术后血瘤形成的潜在原因.
主要方法:
- 一个患有三个SDAVF的患者同时接受手术治疗的病例报告.
- 对多个SDAVF患者的综合文献综述.
- 在收集的病例中分析手术结果和术后并发症.
主要成果:
- 报告的患者在手术后经历了重复的,无法解释的血瘤形成.
- 文献审查确定了19名患有41种不同的SDAVF的患者.
- 在这项综述中,只有两名患者在一次手术中治疗了所有SDAVF.
- 当代手术并未被确定为出血的直接原因.
结论:
- 在多个SDAVF病例中,不控制的液体转移 (调味) 被假设为术后血瘤的潜在原因.
- 对多个SDAVF的管理策略可能需要考虑手术期间和之后的流体动力学.
- 需要进一步的研究来阐明在这些复杂的病例中血液瘤形成的病理生理学.
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