伪装成神经鞘瘤的巨大椎动脉假性动脉瘤：病例说明
Large vertebral artery pseudoaneurysm masquerading as a schwannoma: illustrative case.
作者信息
Koueik Joyce, Larson Sarah, Ahmed Azam, Hanna Amgad S
出版信息
J Neurosurg Case Lessons. 2023 Jul 3;6(1). doi: 10.3171/CASE23168.
BACKGROUND
Extracranial vertebral aneurysms or pseudoaneurysms are rare and result primarily from trauma. Large pseudoaneurysms can masquerade as mass lesions, making it challenging to identify the correct diagnosis.
OBSERVATIONS
This is a case report in which a large vertebral pseudoaneurysm posed as a schwannoma and biopsy was attempted. It was later identified as a vascular lesion and treated appropriately with no complications.
LESSONS
Vascular etiologies should always be included in the differential diagnosis of spine and nerve pathologies especially lesions that are in the vicinity of major vascular channels such as the transverse foramina of the cervical spine.
背景
颅外椎动脉动脉瘤或假性动脉瘤罕见，主要由创伤引起。大型假性动脉瘤可伪装成肿块病变，难以做出正确诊断。
观察结果
本文报告一例大型椎动脉假性动脉瘤伪装成神经鞘瘤并尝试活检的病例。该病变后来被确定为血管性病变，并得到了恰当治疗，未出现并发症。
经验教训
在脊柱和神经病变的鉴别诊断中，尤其是对于位于主要血管通道附近（如颈椎横突孔）的病变，应始终考虑血管病因。
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