相关的CPPD基底印记与脊椎动脉剖析和随后的脑下下垂体出血:说明案例
Sara Smeets1,2, Thomas Daenekindt1, Frank Weyns1,3
1Department of Neurosurgery, Hospital East-Limburg, Genk, Limburg, Belgium.
Journal of neurosurgery. Case lessons
|September 8, 2025
概括
硫酸二 (CPPD) 沉积疾病可能会导致基础印记,导致脊椎动脉解剖和出血. 这种罕见的并发症需要仔细的手术考虑和潜在的血管成像.
科学领域:
- 神经学 神经学
- 整形外科手术 整形外科手术
- 放射学 放射学是一门学科.
背景情况:
- 酸二 (CPPD) 沉积疾病通常会影响椎结节 (CCJ),通常呈现为逆形形瘤.
- 这一案例突显出一种罕见的CPPD诱导的基底印记呈现,导致脊椎动脉 (VA) 解剖和出血.
研究的目的:
- 报告第一个由CPPD引起的脊椎动脉剖析和后出血的病例,该病例是基底印记的次要原因.
- 强调CCJ炎症性关节炎的快速亚特兰索轴侵蚀和不稳定性的潜力.
主要方法:
- 一名65岁的男性患有慢性宫痛和头痛,呈现出基底印记和严重的atlantoaxial不稳定.
- CT和MRI显示CCJ狭窄是由于CPPD. 患者经历了从VA剖析后的后出血的突然恶化.
- 管理包括外部心室排水放置,VA栓塞,光环背心稳定和椎合.
主要成果:
- 患者出现了脊椎动脉剖析和后出血,并出现了阻塞性水脑.
- 涉及神经外科和内血管干预的成功管理导致恢复了CCJ对齐和神经恢复.
- 患者在长期康复后实现了独立生活.
结论:
- 这是第一个报告的VA剖析和出血的情况,其次是CPPD诱导的基底印记.
- 中枢关节炎症性关节病可以导致快速侵蚀和不稳定,增加VA剖析的风险.
- 在手术前进行血管成像可能对管理患有炎症基础印记的患者至关重要.
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