Division of Interventional Neuroradiology, UCLA, Los Angeles, California, USA
Division of Interventional Neuroradiology, UCLA, Los Angeles, California, USA.
J Neurointerv Surg. 2022 Apr;14(4):e3. doi: 10.1136/neurintsurg-2021-018121. Epub 2021 Nov 3.
A teenager with a history of acute myeloid leukemia presented with headache, nausea and blurry vision over a 2 week period. The MRI of the brain was concerning for the presence of a myeloid sarcoma within the right sigmoid sinus. For evaluation of venous obstruction and the underlying lesion the patient underwent a cerebral angiogram and transvenous biopsy of the sigmoid sinus lesion using a stent retriever and aspiration catheter. The tissue extracted was consistent with myeloid sarcoma. This pathologic finding was consistent with the recurrence of leukemia and guided the targeted oncologic treatment.
一名青少年有急性髓系白血病病史，2 周来出现头痛、恶心和视力模糊。脑部 MRI 显示右侧乙状窦内有髓样肉瘤。为了评估静脉阻塞和潜在病变，患者接受了脑血管造影检查，并使用支架取栓器和抽吸导管对乙状窦病变进行了经静脉活检。提取的组织与髓样肉瘤一致。这一病理发现与白血病的复发一致，并指导了靶向肿瘤治疗。
