扩张性椎动脉相关延髓压迫的微血管减压治疗：病例报告及文献复习。
Ectatic vertebral artery associated medullary compression treated with microvascular decompression: a case report and review of literature.
机构信息
Department of General Surgery, Loma Linda University, Loma Linda, CA, USA.
School of Medicine, Loma Linda University, Loma Linda, CA, USA.
出版信息
J Med Case Rep. 2024 Oct 8;18(1):485. doi: 10.1186/s13256-024-04713-x.
BACKGROUND
Vertebral artery compression syndrome is a rare condition defined as the clinical presentation of dizziness, vertigo, ataxia, dysarthria, dysphagia, progressive or acute paralysis, hemisensory loss, and cervical myelopathy secondary to compression of the medulla and upper spinal cord by the vertebral artery.
CASE DESCRIPTION
Here we describe a 57-year-old Mexican-American male with bulbar symptoms, positional vertigo, and diplopia. The patient's symptoms were managed through microsurgical decompression of the medulla utilizing a far lateral transcondylar approach. The patient reported clinical improvement on follow-up.
CONCLUSION
This case underscores the clinical complexity and heterogeneity of this rare neurovascular pathology and the importance of elucidating the pathophysiological mechanisms underlying the symptomatic presentation of vertebral artery compression syndrome.
背景
椎动脉压迫综合征是一种罕见的疾病，其定义为椎动脉压迫延髓和上脊髓导致的头晕、眩晕、共济失调、构音障碍、吞咽困难、进行性或急性瘫痪、半感觉丧失和颈脊髓病等临床表现。
病例描述
我们在此描述一位 57 岁的墨西哥裔美国男性，表现为球部症状、位置性眩晕和复视。患者的症状通过远外侧经髁突入路进行了延髓的显微减压手术治疗。患者在随访时报告了临床改善。
结论
本病例强调了这种罕见的神经血管病理学的临床复杂性和异质性，以及阐明椎动脉压迫综合征症状表现背后的病理生理机制的重要性。
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