脊柱长期动脉静脉囊伪装成透性骨髓内瘤:一个说明性的案例
Aarathi Manchikalapudi1, Natasha Ironside1, Camilo E Fadul2
1Department of Neurological Surgery, University of Virginia Health System, Charlottesville, Virginia.
Journal of neurosurgery. Case lessons
|February 9, 2026
概括
脊柱硬性动脉静脉 (SDAVFs) 可以模仿脊髓瘤. 早期的术内ICG血管学有助于在怀疑瘤的外科探索期间的诊断.
科学领域:
- 神经外科 神经外科
- 血管神经学 血管神经学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 第1型脊柱持续性动脉静脉 (SDAVFs) 呈现非特异性症状.
- 在成像上,SDAVFs可以模仿高度的骨髓内脊髓瘤 (IMSCTs).
研究的目的:
- 突出SDAVF与IMSCT区分的诊断挑战.
- 强调手术内成像在诊断SDAVF时的实用性.
主要方法:
- 一个75岁的男性患有渐进性骨髓病的病例介绍.
- 诊断工作包括MRI,MR血管造影,DSA和皮质类固醇试验.
- 进行了手术探索,使用手术内氨酸绿色 (ICG) 血管造影.
主要成果:
- 最初的研究结果是不确定的,IMSCT和SDAVF之间存在不确定性.
- 术内ICG血管学成功发现了动脉化的静脉,证实了SDAVF.
- 手术后的改善证实了诊断和成功的治疗.
结论:
- SDAVF可以呈现为透性IMSCT,需要高度的临床怀疑.
- 如果初步研究是负面的,可能需要重复DSA.
- 术内ICG血管学对于在外科探索期间识别SDAVF非常有价值.
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