由C1横向过程诱导的内静脉狭窄症通过静脉支架成功治疗:一个病例报告
Oscar Gutierrez-Trevino1, Hector R Martinez1, Rogelio Flores-Salcido1
1Instituto de Neurologia y Neurocirugia, Centro Medico Zambrano Hellion, TecSalud, San Pedro Garza Garcia, Nuevo Leon, Mexico.
Journal of cerebrovascular and endovascular neurosurgery
|January 28, 2026
概括
脑静脉高血压由内静脉通过C1横向过程的压缩是罕见的. 最少侵入性静脉支架成功治疗了一名头患者,证明了其潜在的有效性.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 内静脉 (IJV) 的压缩会导致脑静脉高血压,导致头痛和脉动性耳等症状.
- 通过C1横向过程压缩是IJV狭窄的不常见原因.
- 传统的治疗方法包括手术减压,但正在出现最少侵入性的选择.
研究的目的:
- 报告一种罕见的IJV狭窄病例,由C1横向过程压缩引起.
- 评估血管内静脉支架作为这种疾病的微创治疗方法的疗效.
- 强调在无法解释的神经症状中考虑额外静脉狭窄的重要性.
主要方法:
- 评估了一名73岁的患者,该患者患有头,鼻和步行不稳定.
- 计算机断层扫描发现了由于C1横向过程冲击导致的左侧内狭窄.
- 患者经历了成功的内血管静脉支架.
主要成果:
- 静脉支架有效地缓解了IJV的外部压缩.
- 患者经历了,阴影和步行不稳定的显著改善.
- 术后静脉计量证实了压力改善,与症状解决相关.
结论:
- 外静脉狭窄,特别是通过C1横向过程等解剖学变体的IJV压缩,可以呈现神经症状.
- 最少侵入性的内血管静脉支架为治疗此类病例提供了一种有希望的替代手术方案.
- 需要进一步的研究来确定静脉支架的长期疗效和临床影响,以压缩静脉支架.
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