异常的脊椎动脉过程导致根茎病变:一个病例报告和对相关文献的审查
H Jabri1, K T Chen2, S Sharma3
1Department of Spine Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Brain & spine
|February 4, 2026
概括
一位患者的脊椎外动脉导致了宫性根性病变. 具有先进成像技术的最小侵入性手术成功治疗了这种情况,强调了识别这种罕见动脉异常的重要性.
科学领域:
- 神经外科 神经外科
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 宫性根系病通常是由退行性磁盘疾病引起的.
- 很少情况下,脱节性脊椎动脉会导致宫根性病变.
- 脊椎动脉循环形成 (VALF) 是一种影响手术风险的罕见异常.
研究的目的:
- 报告一个独特的宫性根系病变的病例,由脱节性脊椎动脉引起.
- 讨论这种罕见疾病的手术治疗方法.
- 强调手术前识别脊椎动脉异常的重要性.
主要方法:
- 一名73岁的女性患者出现了宫性根系病变.
- 放射性评估显示,在C4/5.5处有一个动的脊椎动脉.
- 治疗涉及后部管道最小侵入性拉米诺法胺切除术与微血管减压,利用手术内超声波和ICG血管学.
主要成果:
- 患者经历了显著的症状改善,包括增加了体力量和减少疼痛.
- 手术后的放射性随访证实了成功的减压.
- 通过先进的成像指导的最小侵入性方法,确保了脊椎动脉的通透性.
结论:
- 脊椎动脉异常应考虑在没有典型的磁盘病理的宫根性病变病例.
- 术前的鉴定和手术规划对于预防阳性损伤至关重要.
- 具有先进成像技术的微创手术为这种罕见疾病提供了有效的治疗方法.
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