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局部麻醉下经皮栓塞散发性腰骶神经根血管母细胞瘤

Percutaneous embolization of sporadic lumbar nerve root haemangioblastoma under local anaesthesia.

作者信息

Leung Ho Sang, Lee Ryan Ka Lok, Law Eric Ka Chai, Mak Wai Kit, Griffith James Francis, Yu Simon Chun Ho

机构信息

Department of Imaging and Interventional Radiology, Prince of Wales Hospital, Hong Kong, China.

Division of Neurosurgery, Department of Surgery, Prince of Wales Hospital, Hong Kong, China.

出版信息

BJR Case Rep. 2020 Feb 12;6(1):20190037. doi: 10.1259/bjrcr.20190037. eCollection 2020 Mar.

DOI:10.1259/bjrcr.20190037
PMID:32201600
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7068088/
Abstract

Pre-operative embolization of spinal tumours are mainly performed using a transarterial approach. Percutaneous embolization of spinal tumours are undertaken much less frequently, though its use has been reported in hypervascular spinal metastases and spinal paraganglioma. We present a patient in whom pre-operative percutaneous embolization has been performed to a recurrent lumbar nerve root haemangioblastoma that had previously been embolized using a transarterial approach. Percutaneous embolization, through targeted percutaneous puncture of the extradural component, helped reduce intraoperative blood loss, and minimize risk of spinal ischaemia.

摘要

脊柱肿瘤的术前栓塞主要采用经动脉途径进行。经皮栓塞脊柱肿瘤的情况则少见得多，不过在富血管性脊柱转移瘤和脊柱副神经节瘤中已有应用的报道。我们报告1例复发性腰神经根成血管细胞瘤患者，该肿瘤此前已行经动脉栓塞，此次又接受了术前经皮栓塞。通过对硬膜外成分进行靶向经皮穿刺实施经皮栓塞，有助于减少术中失血，并将脊髓缺血风险降至最低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a63/7068088/3a0df9425c88/bjrcr.20190037.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a63/7068088/36c029df14f7/bjrcr.20190037.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a63/7068088/9158f40574fc/bjrcr.20190037.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a63/7068088/351b166a104e/bjrcr.20190037.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a63/7068088/3a0df9425c88/bjrcr.20190037.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a63/7068088/36c029df14f7/bjrcr.20190037.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a63/7068088/9158f40574fc/bjrcr.20190037.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a63/7068088/351b166a104e/bjrcr.20190037.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a63/7068088/3a0df9425c88/bjrcr.20190037.g004.jpg

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2
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J Clin Neurosci. 2017 Oct;44:306-309. doi: 10.1016/j.jocn.2017.07.003. Epub 2017 Aug 1.
3
Purely extradural spinal nerve root hemangioblastomas.
单纯硬膜外脊髓神经根血管母细胞瘤。
J Craniovertebr Junction Spine. 2016 Oct-Dec;7(4):197-200. doi: 10.4103/0974-8237.193255.
4
Preoperative Embolization of Spinal Tumors: A Systematic Review and Meta-Analysis.脊柱肿瘤的术前栓塞：一项系统评价和荟萃分析
World Neurosurg. 2016 Mar;87:362-71. doi: 10.1016/j.wneu.2015.11.064. Epub 2015 Dec 15.
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