巨大的扩张/部分化的外周静脉静脉引起了脊髓内神经压缩/肌痛
Nazmin Ahmed1, Mohammad Nazrul Hossain1, Shahidul Islam Khan2
1Department of Neurosurgery, Ibrahim Cardiac Hospital and Research Institute (A Centre for Cardiovascular, Neuroscience and Organ Transplant Units), Dhaka, Bangladesh.
Surgical neurology international
|October 1, 2025
概括
一个罕见的 sciatica 病例由显著扩大的外周静脉静脉 (EVV) 引起,成功治疗. 手术切除化EVV缓解了患者的症状,并恢复了神经功能.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 一名36岁的男性出现了持续的 lumbago 和 sciatica.
- 磁共振成像 (MR) 显示显著扩张,化的外周静脉静脉 (EVV) 压缩神经结构.
- X射线和计算机断层扫描 (CT) 证实了在L5/S1.1.处的"串珠"化模式.
研究的目的:
- 报告一例罕见的 lumbago/sciatica 由外周静脉静脉引起的病例.
- 要突出MRI和CT成像在识别EVV的诊断实用性.
- 为了证明手术干预对EVV诱导的神经压缩的疗效.
主要方法:
- 临床表现和神经学检查.
- 先进的成像技术包括MR和CT.
- 术内发现,外科手术 (凝血和去除EVV).
- 手术后的随访和评估神经恢复.
主要成果:
- 外周静脉静脉 (EVV) 被确定为囊和S1神经根压缩的原因.
- 涉及部分静脉凝固和完全切除的手术干预成功地解压了神经元件.
- 患者经历了 sciatica 的完全消失,并在手术后一个月内恢复了正常的神经功能.
结论:
- 外周静脉静脉 (EVVs) 可能是 sciatica 的罕见原因.
- 多模式成像 (MR,CT) 对于准确诊断EVV至关重要.
- 手术减压和去除EVV提供了具有优异结果的终极治疗方法.
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