一名患有椎管内和椎管外颈神经肠囊肿患者的非典型椎动脉。

Atypical vertebral artery in a patient with an intra-and extraspinal cervical neurenteric cyst.

作者信息

Schmidbauer M, Reinprecht A, Schuster H, Wimberger D, Kollegger H

机构信息

Neurological Institute, University of Vienna Medical School, Austria.

出版信息

Acta Neurochir (Wien). 1991;109(3-4):150-3. doi: 10.1007/BF01403012.

DOI:10.1007/BF01403012

PMID:1858534

Abstract

A 15 year old girl experienced Horner's syndrome on the right side, paraesthesia of the right arm and meningitis. CT and MRI showed a cystic lesion on the right side of the cervical spine at C3/C4 which descended with an extraspinal portion down to C6. Histology revealed a complex neurenteric cyst. The ipsilateral vertebral artery showed an atypical course. This abnormal artery besides a partial fusion of the vertebrae C2/C3/C4 suggest a complex malformation at the site of the cyst. Disturbed developmental relationships in this case indicate that pathological blood vessels may represent a risk factor in the surgical treatment of neurenteric cysts.

摘要

一名15岁女孩出现右侧霍纳综合征、右臂感觉异常和脑膜炎。CT和MRI显示颈椎C3/C4水平右侧有一个囊性病变，其椎管外部分向下延伸至C6。组织学检查显示为复杂的神经肠囊肿。同侧椎动脉走行异常。除了C2/C3/C4椎体部分融合外，这条异常动脉提示囊肿部位存在复杂畸形。该病例中发育关系紊乱表明，病理性血管可能是神经肠囊肿手术治疗中的一个危险因素。