渐进的上斜侧鼻血栓成功治疗血管造形术:一个病例报告
Chie Matsuura1, Yuki Sakaeyama1, Yutaka Fuchinoue1
1Department of Neurosurgery, Faculty of Medicine, Toho University, Tokyo, JPN.
Cureus
|October 6, 2025
概括
气球血管整形为严重的脑静脉鼻血栓塞 (CVST) 提供了有前途的治疗方法,当抗凝剂不足时. 这种内血管疗法成功地解决了上部斜侧鼻血栓,改善了患者的治疗结果.
科学领域:
- 神经学 神经学
- 干预性神经辐射学
- 血管外科 血管外科
背景情况:
- 大脑静脉鼻血栓塞 (CVST) 是一种严重的疾病,通常用抗凝药治疗.
- 内血管治疗CVST的有效性尚未得到充分证实.
- 尽管接受了标准的医疗治疗,但一些CVST患者的预后不佳.
研究的目的:
- 为了评估气球血管整形在渐进的上斜侧鼻血栓形成病例中的疗效.
- 介绍一个因神经状况恶化而使用血管内干预的案例.
主要方法:
- 一名68岁的男性患者患有上部斜侧鼻血栓和下大脑下垂体出血,接受了氨酸治疗.
- 进行了气球血管整形,以解决由于渐进性恶化而导致的上上斜狭窄症.
- 在治疗后继续用华法林治疗抗凝血药物.
主要成果:
- 患者经历了出血性心脏病发作,尽管初始的肝素治疗.
- 在气球血管整形后,没有进一步的出血发生,意识得到改善.
- 患者在修改后的兰金评分尺度上获得了3.0的分数,并被送往康复中心.
结论:
- 气球血管整形可能是渐进性脑静脉鼻血栓症的可行的治疗选择.
- 当医疗管理未能防止CVST的神经衰退时,可以考虑血管内干预.
- 这一案例突出了复杂的CVST病例的潜在替代治疗途径.
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