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盖伦病变静脉自发性血栓形成
Ashwin Kumar Panda1, Rajnish Kumar Arora2, Sarvanan Sadhasivam1
1Neurosurgery, AIIMS Rishikesh, Rishikesh, Uttarakhand, India.
BMJ case reports
|September 10, 2025
概括
在盖伦静脉形 (VGM) 中发生自发性血栓形成是罕见的. 内镜第三腔静脉切除术 (ETV) 在儿童患者中有效治疗了阻塞性头症,避免了变位.
科学领域:
- 神经学 神经学
- 儿科神经外科 儿科神经外科
- 血管形症 血管形症
背景情况:
- 盖伦静脉形 (VGM) 是一种罕见的脑血管异常.
- 在VGM内自发性血栓形成非常罕见,可能导致严重的并发症.
研究的目的:
- 报告一个患有血栓形成的VGM导致阻塞性头症的儿科病人的病例.
- 评估内镜第三心室静脉切除术 (ETV) 的疗效,作为对VGM血栓形成的次要水头症的治疗.
主要方法:
- 一个儿科病人的病例报告呈现出脑内压力升高的症状.
- 诊断成像证实了血栓化VGM和上游水头发症.
- 进行了内镜第三室内静脉切除术 (ETV),以缓解阻塞性水头.
主要成果:
- 患者出现了全脑性头痛,吐和乳头水.
- 图像检测证实了发生血栓的VGM导致阻塞性水脑.
- ETV成功地缓解了症状,并解决了头症,而不需要转换,导致无事件的恢复.
结论:
- 透视第三腹腔切除术 (ETV) 是阻塞性水脑病的可行和有效的治疗选择,其次是血栓化的盖伦静脉形 (VGMs).
- 这种方法可以替代传统的腹腔上关节切换,可能减少与切换相关的并发症.
- 迅速识别和干预罕见的并发症,如自发的VGM血栓形成,对于有利的患者结果至关重要.
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