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双边和多层脊椎动脉循环形成导致宫性根性病变:一个案例报告和文献综述
Xiaoping Wang1, Qifei Duan1, Youhui Wu1
1Department of Orthopedics, Zhongshan Xiaolan People's Hospital (The Fifth People's Hospital of Zhongshan) Xiaolan Clinical Institute of Shantou University Medical College, Zhongshan, CHN.
Cureus
|January 9, 2026
概括
双边脊椎动脉循环形成 (VALF) 可以导致慢性部和手臂疼痛. 本案例研究表明,通过保守的管理,症状得到解决,并得到成功治疗的文献综述的支持.
科学领域:
- 神经学 神经学
- 血管解剖学 血管解剖学
背景情况:
- 脊椎动脉循环形成 (VALF) 是一种罕见的解剖变异.
- 由于神经根或脑干的压缩,VALF会导致神经症状.
研究的目的:
- 展示双边和多层次VALF的一个案例.
- 讨论VALF的诊断成像和管理.
- 审查关于VALF管理的文献.
主要方法:
- 一个60岁的老人患有慢性宫肌痛和头的病例报告.
- 诊断成像包括磁共振成像 (MRI) 和计算机断层扫描血管造影 (CTA).
- 在过去二十年中对VALF病例的文献综述.
主要成果:
- 核磁共振扫描显示,C4-5处的双侧VALF压缩了右侧C5神经根.
- CTA在左V1段发现了一个额外的VALF.
- 患者的症状在六个月的保守管理下完全消失.
结论:
- 双边和多层VALF可以引起显著的神经症状.
- 对症状性VALF的保守管理可能是有效的.
- 保守和外科手术方法都在管理VALF.成功.
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