脊髓 - 静脉 - 一个未被认可的表面 siderosis 的原因
Emanuele Orru'1, Christopher Adereti2, Neil V Patel1
1Division of Neurointerventional Radiology, Lahey Hospital & Medical Center - Beth Israel Lahey Health, UMass Chan Medical School, Boston, MA, USA.
概括
表面性 siderosis (SS) 是一种罕见的神经疾病. 这一案例突出了脑脊液静脉囊作为SS的潜在原因,即使没有典型的症状,如持续的眼.
科学领域:
- 神经学 神经学
- 神经成像是一种神经成像.
- 神经外科 神经外科
背景情况:
- 表面性 siderosis (SS) 涉及到中枢神经系统中血红素沉积,通常来自出血.
- 常见的原因包括脑粉样血管病变和脑脊液 (CSF) 泄漏.
- 在没有明显的收集的情况下,从脊髓中枢液泄漏的慢性微出血是罕见的.
研究的目的:
- 描述一种罕见的表现为症状的表面性 siderosis 的病例.
- 为了确定脑脊液-静脉 (CSF-VF) 作为潜在的原因.
- 强调CSF-VF在SS的诊断重要性.
主要方法:
- 一个60多岁的男性患者的病例报告,有神经症状.
- 神经轴成像以评估SS的程度.
- 计算机断层扫描骨髓图,以识别CSF-VF.
- 通过静脉栓塞,以关闭.
主要成果:
- 观察到涉及大脑和脊髓的广泛SS.
- 胸部CSF静脉囊被确定为原因.
- 成功关闭CSF-VF导致症状改善.
结论:
- 脑脊液静脉囊应在表面性 siderosis 的差异诊断中考虑.
- 这一点尤其重要,当没有CSF泄漏或内低血压的经典迹象时.
- 迅速诊断和治疗CSF-VF可以导致从SS症状的恢复.
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