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缺血尾巴马体综合征:一种非典型的急性大动脉封闭表现

Kavitha B Chittaragi¹, Nayan H B², Adarsh Singarahalli Bheemanna²

¹Radiodiagnosis, JSS Academy of Higher Education and Research, Mysuru, India.

BMJ case reports

|July 25, 2025

概括

急性大动脉闭塞可能导致罕见的缺血尾巴马尾综合征 (ICES). 及时诊断和血管干预对于管理这种严重疾病和预防永久的神经缺陷等并发症至关重要.

科学领域:

神经学神经学
血管外科血管外科
放射学放射学是一门学科.

背景情况:

缺血尾马综合征 (ICES) 是一种罕见但严重的神经疾病.
它通常是由于尾巴马体的血液供应受损造成的,经常与急性大动脉封闭 (AAO) 等血管事件有关.
AAO通常影响远端器官,但可以影响腰椎动脉,导致脊髓缺血.

研究的目的:

描述AAO表现为ICES的非典型表现.
突出考虑血管病因的重要性,在疑似ICES病例中,初始成像无法确定.
强调急需及时识别和管理以减轻严重后果的关键需要.

主要方法:

一个中年患者出现ICES症状的病例报告.
最初的诊断工作包括腰椎MRI.腰椎MRI.
随后的调查涉及CT血管造影,以评估腹腔大动脉和腰部动脉.

主要成果:

最初的腰椎MRI是不显著的,延迟了诊断.
图像扫描扫描揭示了广泛的下大动脉血栓,危及腰部动脉,证实了ICES.
尽管进行了紧急的手术 (血栓塞瘤切除术),但再注血不足,导致神经缺陷逐渐增加,下肢缺血需要截肢.

结论:

AAO可以不典型地呈现为ICES,需要高度的怀疑指数.
应考虑血管原因,当脊柱状况的初始成像是不确定的.
及时诊断和血管干预对于改善ICES患者的治疗结果至关重要,尽管仍然可能出现严重并发症.

关键词:

动脉动脉中的动脉磁共振成像技术磁共振成像技术主要护理是指初级护理.脊髓是指脊髓中的一些部分.

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