Pelz David M, Lownie Stephen P, Mayich Michael S, Pandey Sachin K, Sharma Manas
Departments of Medical Imaging, and Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
Consultant Neuroradiologists, University Hospital, London Health Sciences Centre, London, Ontario, Canada.
Can J Neurol Sci. 2021 Mar;48(2):172-188. doi: 10.1017/cjn.2020.153. Epub 2020 Jul 16.
Interventional neuroradiology (INR) has evolved from a hybrid mixture of daring radiologists and iconoclastic neurosurgeons into a multidisciplinary specialty, which has become indispensable for cerebrovascular and neurological centers worldwide. This manuscript traces the origins of INR and describes its evolution to the present day. The focus will be on cerebrovascular disorders including aneurysms, stroke, brain arteriovenous malformations, dural arteriovenous fistulae, and atherosclerotic disease, both intra- and extracranial. Also discussed are cerebral vasospasm, venolymphatic malformations of the head and neck, tumor embolization, idiopathic intracranial hypertension, inferior petrosal venous sinus sampling for Cushing's disease, and spinal interventions. Pediatric INR has not been included and deserves a separate, dedicated review.
介入神经放射学(INR)已从大胆的放射科医生和打破传统的神经外科医生的混合领域发展成为一门多学科专业,在全球范围内的脑血管和神经科中心已变得不可或缺。本文追溯了INR的起源,并描述了其发展至今的历程。重点将放在脑血管疾病上,包括颅内和颅外的动脉瘤、中风、脑动静脉畸形、硬脑膜动静脉瘘和动脉粥样硬化疾病。还将讨论脑血管痉挛、头颈部静脉淋巴畸形、肿瘤栓塞、特发性颅内高压、用于库欣病的岩下窦静脉采血以及脊柱介入治疗。儿科INR未包括在内,值得单独进行专门的综述。