偶然发现高度AVM的不太可能:说明案例
Max S Fleisher1, Hayes H Patrick1, Edinson Najera2
1Department of Neurosurgery, George Washington University, Washington, DC.
Journal of neurosurgery. Case lessons
|April 28, 2025
概括
在钉子枪伤后,偶然发现了主导半球的大动脉静脉形 (AVM). 手术切除是成功的,这凸显了研究成像中意外发现的必要性.
科学领域:
- 神经外科 神经外科
- 神经辐射学神经辐射学
- 血管神经学 血管神经学
背景情况:
- 介绍了首个在主导半球出现大,高度动脉静脉形 (AVM) 的报告病例.
- 在穿透钉子枪伤后,AVM偶然被发现.
研究的目的:
- 报告一个偶然发现AVM的独特案例.
- 在透头部创伤的背景下,讨论偶然发现的血管病变的诊断和管理考虑因素.
主要方法:
- 手术切除从右额叶中穿透的钉子.
- 通过外科手术前成像诊断出异侧动脉动脉瘤,并通过脑血管学证实.
- 超选择性Wada测试,以评估表达性语言缺陷的风险,由于AVM位于占主导地位的前眼部区域.
- 成功的手术切除了AVM.
主要成果:
- 患者从去除指甲和AVM切除手术中恢复得很好.
- 在术后没有观察到神经缺陷.
结论:
- 强调保持对成像中偶然发现的怀疑至关重要,即使存在明显的病理.
- 增加了对穿透钉子枪伤害的管理和偶然发现的内血管病变的处理的宝贵见解.
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