微手术治疗与视力障碍相关的大型上下细胞动脉动脉瘤
Batuk Diyora1, Anup Purandare, Kavin Devani
1Department of Neurosurgery, LTMG Hospital, Sion, Mumbai, Maharashtra, India.
Neurology India
|July 24, 2025
概括
上下垂体动脉动脉瘤很少见,但可能导致视力丧失. 一个部分凝血动脉瘤的手术剪切改善了视神经压缩患者的视力敏度.
科学领域:
- 神经外科 神经外科
- 血管神经学 血管神经学
- 眼科医生 眼科 眼科
背景情况:
- 上部海马体动脉动脉瘤是不常见的脑血管病变.
- 症状表现通常涉及下关节出血,头骨神经缺陷或视力障碍.
- 微手术对准状区域的治疗方法存在重大解剖学挑战.
研究的目的:
- 报告一种罕见的上下垂体动脉动脉瘤病例,呈现出视力受损.
- 为了描述成功的微手术管理部分血栓形成的动脉瘤,导致视觉和神经压缩.
- 突出干预后视力恢复的潜力.
主要方法:
- 一名43岁的视力敏度下降的男性接受了磁共振成像 (MRI).
- 诊断为左侧上类,部分血栓化,未破裂的动脉瘤,对光学结构产生质量影响的诊断得到确认.
- 患者接受了微手术剪切和动脉瘤切除术.
主要成果:
- 动脉瘤被成功切断,缓解了视和神经的压缩.
- 在六个月的随访中,患者在受影响眼睛的视敏度显著改善.
- 没有报告任何手术内或术后并发症.
结论:
- 虽然很少见,但上下垂体动脉动脉瘤可能会导致显著的视力缺陷.
- 微手术剪切是这些动脉瘤的有效治疗方法,导致视力恢复.
- 早期诊断和手术干预对于管理由这些动脉瘤引起的视力损伤至关重要.
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