后部循环低 perfusion 在耐火性耳痛中起着重要作用:病例报告
Dongchen Wang1, Xiao Yang2, Jun-Ting Li2
1Department of Orthopedics, Central Hospital Affiliated to Shandong First Medical University, Jinan, China.
BMC surgery
|February 3, 2026
概括
这项案例研究将后部循环低 perfusion 和密码性脊椎动脉剖析 (CVAD) 与难以治愈的耳痛联系起来. 血管内修复CVAD解决了低输液,并消除了患者的慢性耳痛.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 异形性难治性耳痛可能会使人虚弱,并且难以诊断.
- 后部循环低 perfusion 是一个鲜为人知的现象.
- 密码性脊椎动脉剖析 (CVAD) 是中风和神经缺陷的罕见原因.
研究的目的:
- 探索后部循环低 perfusion,CVAD,和异常难治的耳痛之间的联系.
- 研究动态对比增强CT (DCE-CT) 在识别CVAD的诊断实用性.
- 评估内血管治疗CVAD相关的耳痛的疗效.
主要方法:
- 一个67岁的男性患有慢性耳痛的病例报告.
- 脑CT输液成像,以评估血液流动.
- 动态对比增强CT (DCE-CT) 可视化脊椎动脉.
- 确定CVAD的内血管支架修复.
主要成果:
- 患者呈现了50多年的错误诊断的右耳痛.
- 大脑CT输液成像显示后部循环的低输液.
- DCE-CT在内脊椎动脉中发现了一个长段CVAD.
- 支架后修复,低输液正常化,耳痛完全消失.
- 在29个月的随访期间,患者仍然没有疼痛.
结论:
- 由CVAD引起的后部循环低是密码性难治性耳痛的重要原因.
- DCE-CT是诊断CVAD的一个有价值的工具.
- 内血管治疗为这种情况提供了有前途的治疗方法.
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