在聚焦超声波移除过程中与腔腔相关的大脑出血
Raúl Martínez-Fernández1,2,3, Jose A Pineda-Pardo1,2, Elena Natera-Villalba1,2
1HM CINAC (Centro Integral de Neurociencias Abarca Campal), Hospital Universitario HM Puerta del Sur, HM Hospitales, Madrid, Spain.
Neurosurgery
|July 31, 2025
概括
磁共振引导聚焦超声波 (MRgFUS) 移动障碍的移除很少会导致大脑出血,尤其是在持续的空洞化的情况下. 这种并发症虽然不常见,但在治疗期间需要谨慎处理.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 医疗成像医学成像
背景情况:
- 磁共振引导聚焦超声波 (MRgFUS) 是一种新兴的运动障碍治疗疗法.
- 严重的并发症很少见,但可能会出现诸如化等技术问题.
- 此前没有报告与MRgFUS相关的内出血.
研究的目的:
- 在MRgFUS切除过程中报告两例症状性脑出血.
- 为了突出洞穴和内出血之间的潜在关联.
- 为临床实践提供有关罕见但严重的MRgFUS并发症的信息.
主要方法:
- 两名患有基本震和帕金森病的患者接受了MRgFUS切除.
- 在治疗期间,尽管尝试降低功率,但仍发生了化.
- 治疗后的成像显示,这两名患者的头内血瘤.
主要成果:
- 两位患者在手术后都出现了运动疲弱.
- 大脑CT扫描证实了目标区域的出血.
- 一名患者康复了,而另一名患者经历了持续的残疾.
结论:
- 脑出血是MRgFUS切除的罕见并发症,在本系列中发生的病例中有0.4%.
- 无法控制的化可能会增加内出血的风险.
- 建议采取保守的治疗策略来减轻这种风险.
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