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在L5-S1处的副脊髓肌内血管瘤与同时发生的椎间板
Hamza Mahdi1,2, Pat Anthony Allevato2, Abdul Haseeb Naeem3
1Schulich School of Medicine and Dentistry, Windsor, Canada.
Journal of medical cases
|July 11, 2025
概括
这份病例报告详细介绍了一种罕见的肌内血管瘤在腰部副脊髓肌肉引起S1根系病变. 早期诊断和手术切除对于管理这种良性血管瘤至关重要.
科学领域:
- 血管外科 血管外科
- 神经外科 神经外科
- 肌肉骨瘤学 肌肉骨瘤学
背景情况:
- 肌内血管瘤 (IMHs) 是一种罕见的良性血管瘤,很少在副脊髓肌肉中报告.
- 腰部IMH可以出现模仿常见脊柱病理的症状,使诊断复杂化.
研究的目的:
- 描述一个罕见的肌肉内血管瘤在腰围脊柱肌肉的病例.
- 为了突出与这种疾病相关的诊断挑战.
- 强调在背部疼痛的差异诊断中考虑血管病变的重要性.
主要方法:
- 一个39岁的男性患有急性S1根性病变的病例介绍.
- 磁共振成像 (MRI) 用于病变的表征.
- 用计算机断层扫描 (CT) 引导的活检和手术切除,以确定诊断和治疗.
主要成果:
- 在L5-S1的勃起器脊柱肌肉中发现了一个8.0 × 3.0 × 3.3厘米的肌内血管瘤.
- 病变与右侧L5-S1盘并存,压缩S1神经根.
- 手术切除证实了诊断,揭示了显著的脂肪细胞 stromal 组件.
结论:
- 腰椎脊椎区域的肌肉内血管瘤存在诊断方面的挑战.
- 血管病变应包括在持续性背痛的差异诊断中,特别是在并发的脊柱病理时.
- 为了确定确诊和缓解症状,可能需要进行外科手术.
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