内血管方法对同时发生的前额头骨 (Dural AVF) 和同时发生的流动性眼动脉动脉瘤:一个案例研究
Vikas Chandra Jha1, Rahul Jain1, Vivek Saran Sinha1
1Department of Neurosurgery, All India Institute of Medical Sciences, Patna, Bihar, India.
Asian journal of neurosurgery
|March 5, 2025
概括
持续性动脉静脉囊与眼动脉动脉瘤是罕见的. 控制的粘合剂栓塞成功治疗了这种复杂的病例,改善了视力并消除了.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 持续性动脉静脉 (DAVFs) 与眼动脉动脉瘤并发,特别是眼道内动脉瘤,代表了一个罕见而复杂的临床挑战.
- 与这些病变相关的逆行皮质血流和鼻血栓症增加了破裂和视神经损伤的风险.
- 对于这些特定复杂的DAVF表现的既定治疗策略尚未明确.
研究的目的:
- 调查罕见的持续性动脉静脉囊与同时发生的眼动脉动脉瘤的有效管理策略.
- 提出一个案例,证明成功的内血管治疗复杂的前脑洞DAVF与眼管内眼动脉动脉瘤.
主要方法:
- 一名66岁的男性患者有高血压病史,出现了急性神经症状和视力下降.
- 诊断成像证实了前脑DAVF与相关的左眼动脉动脉瘤和内出血.
- 血管内栓塞是使用通过左眼动脉插入的微导管进行的,采用控制的粘合剂注射 (N-丁烯酸和利皮醇) 远离动脉瘤.
主要成果:
- 内血管程序成功地治疗了长期动脉静脉以及眼动脉动脉瘤.
- 治疗后,患者的视力敏度显著改善,可以在1英尺处计数手指.
- 6个月后的随访成像显示没有残留的DAVF,表明治疗结果持久.
结论:
- 控制栓是复杂的长期动脉静脉囊与眼动脉动脉瘤的安全和有效的治疗选择,特别是当微手术干预具有挑战性时.
- 这种方法提供了一种可行的替代方案,用于管理罕见的脑血管病变,包括眼动脉和底.
- 成功的内血管管理可以导致这些罕见的沟通患者显著的神经和视觉恢复.
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