由于额外头骨静脉压缩而引起的持续振荡
Yoon-Hee Cha1, Mahmood Gharib2, Kayla Chan1
1Department of Neurology, University of Minnesota, Minneapolis, Minnesota.
Otology & neurotology open
|March 31, 2025
概括
持续的振荡性 (POV),包括mal de débarquement综合征 (MdDS) 和非运动性POV (nmPOV),可能源于部和胸部出口静脉压缩. 缓解这种压缩的治疗显著改善了症状.
科学领域:
- 神经学 神经学
- 血管医学 血管医学
- 静脉管疾病 静脉管疾病
背景情况:
- 持续的振荡性 (POV) 包含了由运动和非运动POV (nmPOV) 引发的mal de débarquement综合征 (MdDS),这些原因包括部损伤等因素.
- 共同的症状包括摇/摇摆,头痛,认知减慢和疲劳,未知潜在病理.
- 这项研究调查了POV和脑外静脉压缩之间的潜在联系.
研究的目的:
- 调查持续振荡 (POV) 和额外静脉压缩之间的关联.
- 提出一个案例系列,证明在部和胸部出口的静脉压缩治疗后,症状得到缓解.
主要方法:
- 一个被诊断为MdDS和nmPOV的病例系列接受了额外头骨静脉压缩治疗.
- 干预措施包括整形切除术,支架,神经毒素注射,肌肉切除术和胸腔出口减压.
- 用导管静脉扫描来评估动态阻塞和静脉血液分流.
主要成果:
- POV始终与特定解剖部位的内静脉 (IJV) 或下静脉的压缩有关.
- 压缩通常是双边的,并同时发生.
- 单边解压程序显著缓解了POV症状.
结论:
- 在MdDS和nmPOV中,振荡性的感知可能是由静脉外流阻塞引起的脉冲引起的.
- 静脉外流障碍和内耳附近静脉压力升高可能会持续刺激前庭系统.
- 治疗静脉压缩是一种潜在的治疗策略,用于持续的振荡.
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