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经血管内入路治疗小儿颈椎动脉瘤样骨囊肿。

Pediatric Cervical Aneurysmal Bone Cyst Treated by Endovascular Approach.

机构信息

Department of Neurosurgery, Hospital Pequeno Principe, Curitiba, Curibita, Puerto Rico, Brazil,

Department of Neurosurgery, Hospital de Clinicas, Parana Federal University, Curibita, Puerto Rico, Brazil,

出版信息

Pediatr Neurosurg. 2020;55(5):304-308. doi: 10.1159/000511281. Epub 2020 Nov 17.

Abstract

INTRODUCTION

Aneurysmal bone cyst (ABC) is a rare, benign, and expansible bone lesion, occurring mainly in childhood. Although most lesions are located at the metaphysis of long bones, they can also be found in flat bones and spine.

CASE PRESENTATION

We report a case of a 16-year-old boy with cervical ABC treated by endovascular embolization. The afferents were occluded as a preoperative preparation for surgery; however, as the patient became asymptomatic after the procedure, the family refused surgery. Image at 1-year follow-up showed reduction and ossification of the lesion.

CONCLUSION

Endovascular treatment decreases surgical morbidity by reducing blood loss, which is particularly important in the pediatric population. This therapeutic option may also halt ABC growth in selected cases.

摘要

介绍

动脉瘤样骨囊肿(ABC)是一种罕见的良性、膨胀性骨病变,主要发生在儿童时期。尽管大多数病变位于长骨的干骺端,但也可发生于扁骨和脊柱。

病例介绍

我们报告了一例 16 岁男孩患有颈椎 ABC,经血管内栓塞治疗。作为手术前的准备,对供血动脉进行了闭塞;然而,由于患者在手术后症状消失,因此家属拒绝了手术。1 年随访时的影像学检查显示病变缩小和骨化。

结论

血管内治疗通过减少失血来降低手术发病率,这在儿科人群中尤为重要。在某些情况下,这种治疗选择也可能阻止 ABC 的生长。

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