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组织学证实的无并发血管畸形的静脉性充血性脊髓病:病例报告及文献综述

Histologically proven venous congestive myelopathy without concurrent vascular malformation: Case reports and review of the literature.

作者信息

Matsubara Teppei, Akutsu Hiroyoshi, Watanabe Shinya, Nakai Kei, Ayuzawa Satoshi, Matsumura Akira

机构信息

Department of Neurosurgery, Institute of Clinical Medicine, University of Tsukuba, Ibaraki, Japan.

出版信息

Surg Neurol Int. 2012;3:87. doi: 10.4103/2152-7806.99922. Epub 2012 Aug 21.

Abstract

BACKGROUND

Venous congestive myelopathy is a progressive myelopathy that is generally caused by a spinal dural arteriovenous fistula.

CASE DESCRIPTION

We report a patient with histologically confirmed venous congestive myelopathy without concurrent vascular malformations in radiological and intraoperative findings.

CONCLUSIONS

The definitive underlying etiology of this congestive myelopathy was unclear. However, this case report highlights the possibility of venous congestive myelopathy with etiology other than a dural arteriovenous fistula. Further, a systematic and elaborate examination should be undertaken to explore the underlying pathology whenever this type of spinal parenchymal lesion is detected.

摘要

背景

静脉充血性脊髓病是一种进行性脊髓病,通常由脊髓硬脊膜动静脉瘘引起。

病例描述

我们报告一名组织学确诊为静脉充血性脊髓病的患者,其影像学和术中检查结果均未发现并发血管畸形。

结论

这种充血性脊髓病的确切潜在病因尚不清楚。然而,本病例报告强调了存在非硬脊膜动静脉瘘病因的静脉充血性脊髓病的可能性。此外,每当检测到这种类型的脊髓实质病变时,都应进行系统而细致的检查以探究潜在病理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa0b/3463142/6ce0d09f0dff/SNI-3-87-g001.jpg

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