脑脊液-静脉:当地的经验与一个越来越普遍的实体
Samiul Ahmed1, Christopher Donaldson1, Shuangyue Tan2
1Department of Neurosurgery, Alfred Hospital, 55 Commercial Road, Melbourne, Victoria 3004, Australia.
概括
脑脊液 (CSF) 静脉囊是自发性内低血压 (SIH) 的可治疗原因. 手术和内血管治疗都取得了很好的结果,所有患者在手术后都没有症状.
科学领域:
- 神经外科 神经外科
- 血管神经学 血管神经学
背景情况:
- 大脑脊髓液 (CSF) 静脉囊涉及脊髓下大脑节空间和外周静脉系统之间的异常连接.
- 这些管越来越被认为是自发性内低血压 (SIH) 的可治疗原因.
研究的目的:
- 介绍澳大利亚队列中CSF静脉的内血管和外科治疗结果的案例系列.
- 突出早期诊断和治疗由CSF静脉囊引起的SIH的有效性.
主要方法:
- 一个回顾性审查的5名患者与CSF静脉囊治疗超过12个月.
- 治疗包括手术绑定神经根或静脉的内血管封闭.
- 评估了临床和放射性结果.
主要成果:
- 三名患者接受了手术绑定,两名患者患有内血管封闭.
- 所有五名患者在随访时都实现了完全的症状消失.
- 患有腹膜下血腫的患者顯示了顯著的放射性改善或解釋.
结论:
- 脑脊液静脉是易于治疗的SIH的原因.
- 手术和内血管方法都提供了很好的结果.
- 早期识别和及时治疗对于有利的结果至关重要.
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