宫下部运动神经元综合征是由宫胸部长期动脉静脉囊引起的:一个说明性的案例
Ryusei Nobori1,2, Hisaaki Uchikado1,3,2, Jin Kikuchi2
1Department of Neurosurgery, Saiseikai Fukuoka General Hospital, Fukuoka, Fukuoka, Japan.
Journal of neurosurgery. Case lessons
|July 21, 2025
概括
下运动神经元综合征 (CLMNS) 的诊断可能具有挑战性. 一个罕见的CLMNS病例是由宫胸部长期动脉静脉囊引起的,通过微手术成功治疗.
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:
- 下运动神经元综合征 (CLMNS) 呈现为手臂神经麻,没有感官缺陷,造成诊断挑战.
- 对CLMNS的差异诊断需要仔细考虑各种病因.
研究的目的:
- 报告一种罕见的CLMNS病例,该病例是持续性动脉静脉囊的次要病例.
- 突出精确诊断和手术干预对于呈现为CLMNS的血管形的重要性.
主要方法:
- 一名50岁的男性患者出现了左臂神经麻 (C7,C8,T1) 的症状.
- 神经放射学成像检测发现,在宫胸部结节处有一个持续性动脉静脉.
- 进行了微手术直接分流封闭治疗.
主要成果:
- 患者的臂神经麻症状在微手术后得到解决.
- 达成了持续性动脉静脉的成功封闭.
结论:
- 椎脊髓静脉形是CLMNS的一个不常见的原因.
- 基于血管解剖学的准确差异诊断和手术规划对于管理这种罕见的表现至关重要.
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