支臂脂瘤导致神经障碍:一个案例系列和系统审查
Nathaniel B Dusseau1,2, Adham M Khalafallah1, Kyle Y Xu3
1Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Neurosurgery
|April 9, 2025
概括
臂脂瘤 (BPLs) 是一种罕见的瘤,可以引起神经问题. 手术切除通常是成功的,大多数患者在BPL切除后会出现症状消失.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 在瘤学瘤学.
背景情况:
- 脂瘤是源自脂肪细胞的良性瘤.
- 臂脂瘤 (BPLs) 可以压缩神经,导致上肢功能障碍.
- 由于解剖学变异性,BPL的手术切除存在挑战.
研究的目的:
- 审查有关导致神经缺陷的BPLs的现有文献.
- 为了呈现5个新的手术治疗的BPL病例.
- 分析BPLs的操作细节和患者结果.
主要方法:
- 在PubMed,Scopus和世界科学杂志的系统文献综述.
- 对神经外科医生前性收集的患者数据库进行回顾性分析.
- 收集有关人口统计,瘤特征,表现,手术和结果的数据.
主要成果:
- 总共分析了27个病例 (22个来自文献,5个是新的).
- 所有患者都出现了手术前的上肢运动和/或感官缺陷.
- 在27例中,25例实现了瘤切除,其中16例患者经历了神经症状的完全消失.
结论:
- 臂脂瘤很少见,但可以引起显著的神经症状.
- 通过患者检查和成像进行准确的诊断对于手术规划至关重要.
- 手术干预可以带来良好的结果和症状的缓解.
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