破裂的原始三胞胎动脉动脉瘤导致内 Carotid 动脉 洞穴鼻腔 管干预
Fudi Chu1, Mingjian Li2, Wei Li2
1School of Clinical Medicine, Shandong Second Medical University.
The Journal of craniofacial surgery
|February 11, 2025
概括
由破裂的原始三动脉动脉瘤引起的一种罕见的内动脉洞腔鼻囊,已通过栓塞成功治疗. 这一案例突出了这种罕见的疾病的可行治疗方法,尽管需要进一步的研究.
科学领域:
- 血管神经学 血管神经学
- 干预性神经放射学 干预性神经放射学
- 脑血管疾病 脑血管疾病
背景情况:
- 内动脉洞腔鼻囊 (CCF) 涉及洞腔鼻内的异常动脉静脉通讯,影响0.17%-0.27%的人口.
- CCF主要是创伤性 (75%) 或自发的 (25%).
- 原始三动脉 (PTA) 是一种罕见的胚胎残留物,连接内动脉和脊柱骨系统,在0.1%-0.6%的个体中发现.
研究的目的:
- 报告一种非常罕见的内动脉洞穴性鼻腔囊病例,这是由于原始三动脉动脉瘤破裂的次要原因.
- 评估干预栓塞治疗这种罕见疾病的疗效.
主要方法:
- 一名53岁的女性患者呈现了双眼视.
- 数字减去血管学证实了PTA动脉瘤破裂导致CCF.
- 成功进行过动脉栓塞治疗.
主要成果:
- 患者的双眼视完全在手术后6个月内消失.
- 数字减去血管图显示,在6个月的随访期内,洞穴鼻囊没有复发.
结论:
- 导致CCF的PTA动脉瘤破裂是一种极其罕见的脑血管事件.
- 跨动脉栓塞是这种情况的可行的治疗选择.
- 由于病例数据有限,需要进一步研究和改进治疗策略.
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