持续原始嗅觉动脉,辅助中脑动脉和早期分叉前脑动脉的同时发生
George Triantafyllou1, Panagiotis Papadopoulos-Manolarakis1,2, Fabrice Duparc3
1Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 75 Mikras Asias str, Goudi, Athens, 11527, Greece.
Surgical and radiologic anatomy : SRA
|May 5, 2025
概括
一个罕见的脑血管异常,持久原始嗅觉动脉 (PPOA),被发现与其他不寻常的动脉变异在一个病人. 识别这些罕见的脑动脉变异对于手术安全和更好的患者结果至关重要.
科学领域:
- 神经学 神经学
- 血管解剖学 血管解剖学
- 医疗成像医学成像
背景情况:
- 大脑动脉循环变化可以持续到成年.
- 持久原始嗅觉动脉 (PPOA) 是一种罕见的异常 (0.14%的患病率).
- PPOA很少与其他血管异常有关.
研究的目的:
- 报告一个独特的联合脑动脉异常病例.
- 突出发现罕见的血管变异对于手术规划的重要性.
主要方法:
- 计算机断层扫描血管造影 (CTA) 用于成像.
- 确定动脉变异的详细解剖描述.
主要成果:
- 发现了一种罕见的左侧PPOA,左侧辅助中脑动脉 (AMCA) 和早期前脑动脉 (ACA) 两叉的组合.
- 该PPOA展出了一个针头转和鼻子分支,与A2段平行运行.
- AMCA起源于ACA的一个异常分支.
结论:
- 这个病例呈现出罕见的大脑动脉异常的独特结合.
- 准确识别这些配置对于在前头骨底部手术中进行手术前规划至关重要.
- 识别罕见的血管异常可以减轻手术风险并改善患者的治疗结果.
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