栓塞后的周周神经系统囊形成及其管理:病例介绍和对不常见实体的系统审查
Otavio F De Toledo1,2, Salvador F Gutierrez-Aguirre1,2, Montserrat Lara-Velazquez1
1Lyerly Neurosurgery, Baptist Neurological Institute, Jacksonville, FL, USA.
Neurosurgical review
|April 6, 2025
概括
在动脉瘤治疗后,周围神经系统囊 (PCs) 可能会形成,特别是在较大的动脉瘤的情况下. 目前的诊断和管理缺乏标准化,需要对这种罕见疾病进行进一步的研究.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
- 放射学 放射学是一门学科.
背景情况:
- 周周神经瘤囊 (PC) 形成是动脉瘤栓塞后的罕见并发症,在治疗破裂和未破裂动脉瘤后发生.
- PC 的临床表现因动脉瘤的初始特征而异.
- 目前还没有标准化的治疗方案,用于神经周囊.
研究的目的:
- 系统地审查周周神经瘤囊的病例.
- 为了确定动脉瘤特征和PC发展之间的潜在关联.
- 突出了对个人电脑标准化诊断和管理方法的需求.
主要方法:
- 系统的文献审查周周神经系统囊病例.
- 在PubMed,Science Direct和Web of Science上使用相关关键字进行的搜索.
- 包括一个来自作者机构的案例.
主要成果:
- 分析了26个病例,主要影响男性,平均年龄为59.34岁.
- 质量效应和水头是常见的表现,在60%的病例中报告了头痛.
- 动脉瘤大于10毫米 (82%) 和位于前部循环 (69.2%) 是常见的;23%的病例涉及破裂动脉瘤.
- 血管内是22例患者的首选治疗方法;两名患者死亡,其中一人因动脉瘤破裂而死亡.
结论:
- 动脉瘤大于10毫米和周围动脉瘤囊的发生之间存在潜在的关联.
- PCs可能是由于脑动脉瘤的二次性流体和血管动力学变化的结果,导致周周血管变化.
- 该研究强调了诊断和管理的异质性,强调需要采用标准化的方法和进一步研究.
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