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颅颈交界区创伤性损伤谱:影像学表现及处理综述

The spectrum of traumatic injuries at the craniocervical junction: a review of imaging findings and management.

作者信息

Siddiqui Juveria, Grover Patrick J, Makalanda Hegoda Levansri, Campion Thomas, Bull Jonathan, Adams Ashok

机构信息

Department of Neuroradiology, Barts Health NHS Trust, Whitechapel Road, London, E1 3BB, UK.

Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, London, WC1N 3BG, UK.

出版信息

Emerg Radiol. 2017 Aug;24(4):377-385. doi: 10.1007/s10140-017-1490-x. Epub 2017 Feb 27.

Abstract

The craniocervical junction is an area with unique biomechanical properties and injuries conferred often represent high-impact trauma. The vital structures traversing this region are susceptible to injury with frequent, only subtle findings identified on unenhanced CT, with MRI and CT angiography often revealing the full extent of injuries. This article reviews the osseous and ligamentous anatomy of the region and common injury patterns. Endovascular and neurosurgical management will also be discussed.

摘要

颅颈交界区是一个具有独特生物力学特性的区域,该区域所遭受的损伤通常代表着高能量创伤。穿过此区域的重要结构容易受损,在未增强CT上常常只能发现一些细微的表现,而MRI和CT血管造影往往能揭示损伤的全貌。本文回顾了该区域的骨性和韧带解剖结构以及常见的损伤模式。还将讨论血管内治疗和神经外科治疗。

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