动态关狭窄可以发生在最小的头部旋转和恶化随着逐渐更大的旋转
Omar Ashraf1, Katherine Belanger2, Jackson P Midtlien2
1Department of Neurological Surgery, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA omar.ashraf@advocatehealth.org.
即使是轻微的头转,也会导致内静脉狭窄,并增加内压力. 这表明动态的内关节狭窄可能经常加重症状.
科学领域:
- 神经学 神经学
- 血管医学 血管医学
- 医疗成像医学成像
背景情况:
- 已知90度头部旋转的内静脉 (IJV) 狭窄会导致压力问题.
- 部分头部旋转的内关节狭窄的患病率尚不清楚.
研究的目的:
- 调查IJV狭窄和压力梯度与渐进的头部旋转的患病率和严重程度.
- 为了确定部分头部旋转对内静脉压力的影响.
主要方法:
- 对20名疑似脑静脉外流障碍患者的回顾性分析.
- 脑静脉图和压力计在中性,25度,45度和90度双边头部旋转时进行.
- 量化IJV狭窄,跨狭窄的压力梯度,以及上部斜鼻腔压力.
主要成果:
- 在15-80%的患者中,严重或闭塞性内关节狭窄发生,患者的脑侧侧头部旋转度越来越高 (25-90度).
- 在90度的双侧旋转头部 (6.0 mmHg右侧关节,5.0 mmHg左侧关节) 观察到最高的中位压梯度.
- 跨狭窄性压力梯度和上部斜侧鼻压力随着头部转动的增加而逐步增加.
结论:
- 分数的头部旋转经常会诱导显著的内狭窄和压力梯度.
- 即使是轻微的头转,也会导致严重的狭窄和内静脉压的升高.
- 动态关狭窄和闭塞可能比以前认为的更为显著地导致每日症状恶化.
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