自发和同时的双边中脑膜动脉静脉:一个病例报告
Gi-Yong Yun1,2, Jae-Min Ahn1, Jong-Hyun Park1,2
1Department of Neurosurgery, College of Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
Journal of cerebrovascular and endovascular neurosurgery
|September 29, 2025
概括
本案例研究强调了一种罕见的自发,同时发生的双边中脑膜动脉静脉囊 (MMAVFs) 的罕见实例. 一个囊自发地消失了,而另一个则成功地用线圈栓塞治疗.
科学领域:
- 血管神经学 血管神经学
- 干预性神经放射学 干预性神经放射学
- 神经成像是一种神经成像.
背景情况:
- 中脑膜动脉静脉 (MMAVF) 是一种罕见的血管形,通常与头部创伤有关.
- 异常和自发病例,特别是双边病例,非常罕见.
研究的目的:
- 在没有头部创伤史的患者中报告一种独特的自发和同时双边MMAVF的临床病例.
- 讨论这种罕见疾病的诊断和治疗方法.
主要方法:
- 诊断是使用飞行时间磁共振血管学建立,并通过数字减去血管学证实.
- 治疗涉及两个MMAVF的计划型跨动脉线圈栓塞.
主要成果:
- 在一名37岁的女性中发现了双边MMAVF,该女性呈现出脉动性耳声.
- 右侧的MMAVF在六天内自发消失.
- 左侧的MMAVF成功地用线圈栓塞治疗,导致了完整的片消灭和症状解决.
结论:
- 自发的MMAVF可能发生在没有明显的创伤的情况下,潜在的机制包括动脉动脉瘤.
- 跨动脉线圈栓塞是MMAVF的有效和安全治疗方法,可以实现完整的囊闭塞和症状缓解.
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