脊柱长期动脉静脉囊呈现为内亚关节出血:一个系统的审查
Bridget Nolan1, Christian Rajkovic1, Galadu Subah1,2
1School of Medicine, New York Medical College, Valhalla, NY, USA.
概括
脊柱持续性动脉静脉 (SDAVFs) 很少会导致下关节出血. 通过手术或栓塞治疗为这些椎脊椎形患者提供了有利的结果.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 血管外科 血管外科
背景情况:
- 脊柱硬性动脉静脉 (SDAVFs) 是最常见的脊柱动脉静脉变异.
- 通常情况下,SDAVFs会导致骨髓病变,但很少会出现下大脑关节出血 (SAH).
研究的目的:
- 系统地审查出现SAH的SDAVF病例.
- 分析患者的特征,治疗方法和结果.
主要方法:
- 对SDAVF与SAH的MEDLINE和Embase数据库进行系统审查.
- 分析了来自45项研究的80名患者,检查了管位置,诊断延迟,干预措施和结果.
主要成果:
- 椎 (57.5%) 和椎结口 (35%) 是最常见的位置.
- 治疗包括开放式手术 (60%) 和内血管栓塞 (22.5%).
- 观察到有利的预后,两种治疗类型的神经恢复率相似.
结论:
- 在没有明确的内来源的SAH患者中,应考虑SDAVF,特别是椎脊柱.
- 开放式手术或栓塞提供了积极的功能和血管学结果.
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