在用软项圈严格固定后,症状复发的形形瘤回归:一个病例报告
Masahiro Kawanishi1, Naokado Ikeda1, Yutaka Ito1
1Department of Neurosurgery, Takeda General Hospital, Kyoto, Japan.
Surgical neurology international
|March 5, 2026
概括
症状的逆形假瘤 (ROP) 可以在没有手术的情况下消失. 使用宫项圈进行保守管理,导致老年患者出现显著的症状和质量回归,这表明非手术方法可能是可行的.
科学领域:
- 神经外科 神经外科
- 脊髓成像 脊髓成像
- 神经学 神经学
背景情况:
- 症状的逆形假瘤 (ROP) 通常需要手术干预,因为神经衰退的风险.
- 本案考察了ROP管理的另一个非操作方法.
研究的目的:
- 报告一个非手术治疗的症状逆形假瘤 (ROP) 病例.
- 评估老年患者对ROP保守治疗的疗效.
主要方法:
- 一个82岁的女性ROP导致宫骨髓病的案例研究.
- 治疗涉及软的宫项圈6个月,连续MRI监测.
- 经常评估神经状态.
主要成果:
- 患者在6个月的时间里经历了右半的完全消失.
- 随访核磁共振扫描显示,背形质量和脊髓减压的自发回归.
- 患者在2年的随访期间仍然无症状和稳定.
结论:
- 保守的管理,包括用软项圈住宫,可以有效治疗症状性ROP在选定的患者,特别是老年人.
- 在特定情况下,这种方法可能会为手术提供可行的替代方案,避免手术风险.
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