脊柱持续性动脉静脉囊呈现下肢虚弱和内出血:一个病例报告
Fang Yu1, Sangharsha Thapa1, Ilya Frid2
1Department of Neurology, Westchester Medical Center New York Medical College, Valhalla, NY, USA.
Radiology case reports
|February 2, 2026
概括
脊柱硬性动脉静脉 (AVF) 是一种罕见的血管问题. 这一案例表明,AVF可以导致突然,严重的脑出血,强调在不明原因的内出血时需要对脊柱进行评估.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 血管外科 血管外科
背景情况:
- 脊柱持续性动脉静脉 (AVF) 是一种不常见的血管形.
- 它们通常呈现出渐进的骨髓病变.
- 内出血是脊柱AVF的罕见并发症.
研究的目的:
- 描述一个独特的快速内出血的案例,这是脊柱持续性AVF的次要原因.
- 为了突出这个演示的动态放射学演变.
- 强调在患有不明原因的内出血的患者中考虑脊柱血管病因的重要性.
主要方法:
- 一名76岁的男性出现了急性神经衰退.
- 最初的非对比头部CT是正常的;3小时后重复CT显示出腹膜内和脑下出血.
- 脊椎MRI显示了扩张的周髓血管和脊髓T2高强度.
- 脊柱血管造影证实了脊柱持续性AVF.
- 治疗涉及跨动脉栓塞.
主要成果:
- 患者经历了一种迅速发展的大型右皮层膜内出血与双边下关节出血.
- 脊柱核磁共振扫描显示了暗示脊柱血管形的发现.
- 脊柱血管学检测出来自右侧L2细分动脉的脊柱持续性AVF.
- 通过跨动脉栓塞实现了成功的治疗.
结论:
- 这个案例独特地说明了与脊柱持续AVF相关的内出血的动态放射性进展.
- 它强调了当内发现与临床表现不一致时,调查脊髓血管病因的急需性.
- 脊柱AVF的早期诊断和治疗可以预防严重的神经系统后果.
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