在小脑动脉静脉形缺陷的栓塞后,双边下结脉梗塞:说明案例
Cafer Ikbal Gulsever1, Alperen Poyraz1, Duygu Dolen1
1Department of Neurosurgery, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey.
Journal of neurosurgery. Case lessons
|March 3, 2025
概括
双边下结 (IC) 发作是小脑动脉静脉形 (AVM) 栓塞后的罕见并发症,可能导致严重的听力损失. 早期识别和支持性护理对于管理这种情况至关重要.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 双边下结 (IC) 心脏病发作是严重听力缺陷的罕见原因.
- 用栓塞治疗的大脑小动脉静脉形 (AVM) 可能导致脑干缺血并发症.
研究的目的:
- 在大脑小动脉瘤的内血管栓塞后报告双边IC梗塞病例.
- 突出这一罕见并发症的临床表现,诊断结果和管理.
主要方法:
- 一名54岁的男性患有小脑AVM,经历了血管内栓塞.
- 栓塞后,患者出现双边听力损失,由MRI证实显示双边IC缺血.
主要成果:
- 患者经历了渐进的感觉神经神经听力损失,最终成为全身.
- 听力测量和听觉脑干反应测试显示振幅降低.
- 尽管进行了支持性治疗,但仍然存在严重的听力缺陷,需要适应性沟通策略.
结论:
- 双边IC心脏病发作是小脑AVM栓塞的罕见但显著的并发症.
- 及时识别和支持性护理,包括康复,对于患者适应至关重要.
- 栓塞技术应优先考虑靠近AVM的位置,以最大限度地减少脑干养器的参与和心脏病发作的风险.
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