由于洞腔血管瘤的T3-T5外周出血而导致的
Ghassen Gader1, Emna Mzoughi1, Olfa Faten2
1Department of Neurosurgery, Trauma and Burns Center, Ben Arous, Tunisia.
Surgical neurology international
|August 21, 2025
概括
脊柱外腔血管瘤 (SECH) 是一种罕见的血管形. 早期诊断和手术切除SECH对于预防神经缺陷至关重要.
科学领域:
- 神经学
- 神经外科
- 血管疾病
背景情况:
- 脊外腔血管瘤 (ECHs) 是不常见的良性血管形,占脊外腔病变的4%和脊椎血管形的5-12%.
- 血液流入ECH可以导致突然严重的神经缺陷.
研究的目的:
- 突出早期诊断和手术干预脊柱外腔血管瘤的重要性.
- 介绍一个ECH导致骨髓病变的病例研究.
主要方法:
- 一名70岁的男性患有渐进式形, 接受磁共振成像 (MRI) 检查.
- 进行了外科切除发现的外周病变.
- 组织病理学检查证实病变是一种良性洞腔血管瘤.
主要成果:
- 在T3-T5水平显示了压缩性外周损伤.
- 病变已经成功被移除.
- 基因病理学证实了一个良性洞腔血管瘤.
结论:
- 脊柱外腔血管需要及时诊断和手术治疗.
- 及时的手术切除对于优化ECH进展性骨髓病患者的治疗结果至关重要.
相关概念视频
Hemorrhagic Stroke l: Introduction
20
A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
20
Hemorrhagic Stroke ll: Pathophysiology
23
A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
23
Increased Intracranial Pressure ll: Pathophysiology
19
Increased intracranial pressure (ICP) refers to a potentially life-threatening rise in pressure inside the skull. This usually happens when there is a major change in the volume of brain tissue, blood, or cerebrospinal fluid (CSF) — the three components inside the skull. According to the Monro-Kellie doctrine, if the volume of one component increases, the volumes of the other components must decrease to maintain normal pressure. If this does not happen, ICP rises.The process often begins...
19
Cerebral Edema ll: Pathophysiology
14
Vasogenic edema is a major form of cerebral edema characterized by abnormal accumulation of fluid in the brain’s extracellular space due to disruption of the blood–brain barrier (BBB). The BBB is a specialized structure composed of endothelial cells connected by tight junctions, supported by astrocytic endfeet and a basement membrane. Under normal conditions, it tightly regulates the movement of ions, proteins, and solutes between the bloodstream and brain parenchyma. When this...
14
Herniated Intervertebral Disc l: Introduction
38
Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
38
Secondary Spinal Cord Injury llI: Pathophysiology
51
Early Ischemia and Ionic ImbalanceWithin minutes of spinal cord injury, a secondary cascade begins, progressing over hours to weeks. Vascular damage reduces blood flow, causing ischemia and mitochondrial dysfunction. ATP depletion leads to ion pump failure, membrane depolarization, sodium influx, potassium efflux, and water accumulation, resulting in cellular swelling. Increased intracellular calcium further disrupts mitochondria and accelerates cellular injury.Excitotoxicity and Neuronal...
51


