动脉静脉形形在穿插的毛皮内部
Aleksandar Krbanjevic1, Tibor Valyi-Nagy2
1Department of Pathology, Microbiology and Immunology, Vanderbilt University, United States of America.
概括
一个罕见的动脉静脉形形在间接引起了胸膜出血,导致突然的神经症状. 手术切除证实了异常血管,表明可能是质瘤.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 血管神经学 血管神经学
背景情况:
- 脑内出血可以呈现出各种神经学缺陷.
- 间接毛皮是血管形的罕见位置.
- 动脉静脉形 (AVMs) 可以导致显著的质量效应和出血.
研究的目的:
- 报告一个独特的病例,该病例是由于AVM导致的甲状腺间位膜的甲状腺出血.
- 讨论这种罕见表现的诊断挑战和管理.
- 突出AVM模仿其他内病理的潜力.
主要方法:
- 一个70岁的老妇人突然出现神经症状的案例介绍.
- 诊断成像包括MRI和CT血管学.
- 干预性神经放射学 (栓塞) 和手术切除.
- 切除组织的组织病理学和免疫组织化学分析.
主要成果:
- 图像检测显示,右丘脑内脑内出血阻塞了间接膜.
- 不成功的栓塞,其后是胸膜区域的手术切除.
- 组织病理学显示出异常的血管和过度的细胞性,可疑是质瘤.
- 间接毛皮中的AVM被确定为出血的原因.
结论:
- 这种病例突出显示了一种罕见的穿膜中静脉动脉瘤,呈现为甲状腺出血.
- 由AVM引起的空腔的急性扩张可以导致突然的神经症状,如头痛和.
- 这些发现强调了在分泌体出血的差异诊断中考虑血管病变的重要性,即使具有暗示瘤的非典型特征.
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