持续动脉静脉栓栓塞后的并发症是意想不到的血管性 oedema 和 alexia
Yun-Hsien Ho1, Hsin-Fan Chiang1,2, Cheng-Chih Hsieh1,2
1Department of Medicine, Mackay Medical College, New Taipei City 252, Taiwan.
BJR case reports
|March 21, 2025
概括
长期动脉静脉栓栓塞后罕见的alexia (阅读困难) 病例凸显了需要仔细监测的需要. 预防性抗凝药可以减少栓塞后的并发症.
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) 是 dura mater 动脉和静脉鼻腔之间的异常连接.
- 甲IIb类型的dAVF存在静脉高血压和出血的风险.
- 血管内栓塞是选择DAVF的主要治疗方法.
研究的目的:
- 报告一个罕见的亚历克西亚病例,该病例是在成功的长期动脉静脉栓塞之后发生的.
- 讨论潜在的机制和经栓塞后神经复杂症的管理.
- 强调警的术后监测的重要性,并考虑预防性抗凝药.
主要方法:
- 一名63岁的男性患有康纳德IIb型左侧西格状鼻 (dAVF) 经过了透静脉栓塞.
- 栓塞利用线圈和Onyx,实现完整的鱼分辨率.
- 血管栓塞后的神经状态和成像被密切监测.
主要成果:
- 成功地进行了DAVF栓塞,没有直接的并发症.
- 发育的alexia,头痛,头,视觉不适 3天后的embolization.
- 核磁共振扫描显示,静脉外流阻塞后的血管性胀是次要的,治疗后部分改善.
结论:
- 亚历克西亚是一种罕见但显著的神经复杂症后DAVF栓塞.
- 静脉外流阻塞导致胀是一个可能的机制.
- 密切的术后监测和潜在的预防性抗凝药对于管理风险至关重要.
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