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弓猎人综合症由于双重损伤; 一个案例报告

Shigeomi Yokoya¹, Jun Nakauchi², Hidesato Takezawa³

¹Department of Neurosurgery, Saiseikai Shiga Hospital, Imperial Gift Foundation Inc., Ritto, Shiga, Japan.

Asian journal of neurosurgery

|March 5, 2025

概括

弓猎人综合征 (BHS) 是一种罕见的中风原因. 这种情况突出显示了脊椎不稳定性和骨质细胞压缩脊椎动脉 (VA) 在不同椎水平的BSH.

科学领域:

神经学神经学
血管外科血管外科
放射学放射学是一门学科.

背景情况:

弓猎人综合征 (BHS) 涉及从脊椎动脉 (VA) 动态压缩中风.
它通常与旋转诱导的流动干扰有关,通常是在atlantoaxial水平.
以前的报道没有描述脊椎不稳定性和骨细胞压缩在不同的部位的结合.

研究的目的:

报告一个独特的BHS病例.
为了说明由骨质细胞和脊椎不稳定性在不同的宫水平的同时VA压缩引起的中风.

主要方法:

一个72岁的男性患有小脑梗塞的案例介绍.
诊断成像包括数字减去血管学和血管内超声波.
涉及骨细胞去除和VA减压的手术干预.

主要成果:

患者出现了头和吐,这表明大脑小卒中.
数字减去血管图显示左侧VA狭窄与血栓.
血管内超声检查显示,骨细胞在C3/4处压缩,在C4/5处因不稳定而出现VA闭塞.
手术减压导致无事件的恢复,超过2年没有复发.

结论:

BHS可以在椎下部表现出来.
结合脊椎不稳定性和骨菌诱导的动脉损伤可以导致BHS.
这一案例强调了在BHS中考虑多种病因因素的重要性.

关键词:

波恩·亨特综合征 (Bow Hunter综合征) 是一种疾病.血管内超声波检查血管内超声波骨质细胞是骨质细胞中的一个.脊椎动脉脊椎动脉脊椎动脉脊椎的不稳定性脊椎的不稳定性

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