模仿cauda equina综合征的急性大动脉封闭:在出现的内血管再血管化后完全的神经恢复
Nicholas L Todd1, Austin Schaff1, Stephen Saela2
1Orthopedic Surgery, Aultman Hospital, Canton, USA.
Cureus
|January 1, 2026
概括
模仿Cauda Equina综合征的急性大动脉和门动脉封闭,通过内血管干预成功治疗. 及时诊断和管理恢复了血液流动,解决了严重的腿部症状和神经系统缺陷.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 神经学 神经学
背景情况:
- 一名67岁的男性,先前双边阴茎支架,出现了急性下肢症状.
- 症状包括虚弱,麻木和严重的疼痛,最初引起人们对Cauda Equina综合征的怀疑.
研究的目的:
- 报告一种急性大动脉和门动脉闭塞的病例,模仿神经系统疾病.
- 突出考虑急性神经系统缺陷患者的血管紧急情况的重要性.
主要方法:
- 计算机断层扫描血管学揭示了腹部远端主动脉和常见腹腔动脉的急性血栓性阻塞,并出现了动脉瘤.
- 紧急内血管干预包括血栓切除,支架和气球血管整形.
主要成果:
- 恢复了血液流向两个下肢的恢复.
- 手术后恢复显示力量,感觉和远端脉冲的正常化.
- 神经学缺陷和下肢症状的完全消失发生.
结论:
- 急性大动脉和门动脉封闭可能会出现模仿Cauda Equina综合征的症状.
- 临床意识,通过成像快速诊断和紧急血管干预对于有利的结果至关重要.
- 内血管技术为急性四肢缺血的治疗提供了有效的治疗方法,原因是血栓性阻塞.
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