与血管形相关的压缩神经病变的管理
Cedar Slovacek1, Lyahn Hwang2, Leonid Shmuylovich2
1Saint Louis University, MO, USA.
概括
血管形 (VMs) 可以引起神经疼痛和功能障碍. 神经减压手术为VM患者提供了显著的症状缓解,即使形本身是无法切除的.
科学领域:
- 血管外科 血管外科
- 神经学 神经学
- 医学案例研究 医学案例研究
背景情况:
- 血管形 (VMs) 是一种罕见的血管组织过度生长,导致疼痛,变形和功能障碍.
- 虚拟机可以压缩相邻的神经,导致疼痛,麻木和运动/感官缺陷.
- 手术切除VM通常是具有挑战性的,因为它们的脆弱性和倾向于透或复发.
研究的目的:
- 评估神经减压手术在患有由血管形引起的症状神经压缩的患者中的疗效.
- 为了证明外围神经外科医生对经历神经相关症状的VM患者进行评估的好处,无论VM的切除能力如何.
主要方法:
- 对接受VM诱导的神经压缩神经减压的患者的回顾性图表审查.
- 通过磁共振成像,通过手术前确认VM和神经压缩.
- 外科干预包括神经减压,有或没有同时进行VM切除.
主要成果:
- 六名VM相关神经压缩的患者接受了神经减压治疗.
- 五名患者之前进行过未成功的外科手术 (切除或硬化疗法).
- 所有六名患者在干预后的疼痛和运动/感官功能障碍显著改善.
结论:
- 神经减压手术是VM诱导的神经压缩的可行治疗方法,可以缓解症状.
- 周围神经外科医生应该评估VM患者的神经疼痛或感觉运动功能障碍.
- 神经减压可以使患者受益,即使血管形无法切除.
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