病例报告:用于压缩性内静脉狭窄的单独手术减压:病例系列和文献综述
Haiyang Ma1, Rui Zhao1, Shuaibin Lu1
1Department of Neurosurgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
Frontiers in surgery
|October 2, 2025
概括
通过手术切除C1横向流程,可以有效地治疗由骨压缩引起的内静脉狭窄症 (IJVS). 这种程序在其他治疗方法失败时,为头部噪音症状提供了持久的缓解.
科学领域:
- 神经外科 神经外科
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 内静脉狭窄 (IJVS) 是脑静脉外流阻塞的一个未被确诊的原因.
- 症状包括头部噪音,耳,头和头痛.
- 骨压缩,特别是从C1横向过程,是一个关键的,但经常被忽视的原因.
研究的目的:
- 为了介绍一个由骨压缩引起的症状性IJVS的病例系列.
- 突出诊断挑战和个性化手术策略.
- 为了评估手术减压的临床结果.
主要方法:
- 三名患有压缩性IJVS的患者接受了多普勒超声波,3DCT静脉扫描和MRI.
- 所有患者都通过切除压缩性骨结构进行了针对性的手术减压.
- 一名患者因持续的流量限制而接受了辅助静脉支架.
主要成果:
- 所有患者都经历了显著的症状改善,包括头部噪声的解决.
- 术后成像证实了增强的静脉口径和流出.
- 一名先前有支架失败的患者从分阶段减压和重新干预中受益.
结论:
- 外在压缩是IJVS的一个可治疗的原因.
- 隔离的外科解压是一种可行的选择,对于那些对内血管治疗不耐药的患者来说.
- 对压缩性IJVS治疗的指示和结果需要提高认识和进一步的研究.
相关概念视频
Esophageal Varices-II: Clinical Features and Management
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Varicose Veins II: Diagnostic Studies and Interprofessional Care
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
Venous Thrombosis III: Interprofessional Care
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...


