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颈胸段硬脊膜动静脉瘘所致的颈段下运动神经元综合征：病例说明

Cervical lower motor neuron syndrome caused by cervicothoracic dural arteriovenous fistula: illustrative case.

作者信息

Nobori Ryusei, Uchikado Hisaaki, Kikuchi Jin, Kajiwara Sosho, Kawano Takayuki, Morioka Motohiro

机构信息

Department of Neurosurgery, Saiseikai Fukuoka General Hospital, Fukuoka, Fukuoka, Japan.

Department of Neurosurgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan.

出版信息

J Neurosurg Case Lessons. 2025 Jul 21;10(3). doi: 10.3171/CASE25353.

DOI:10.3171/CASE25353
PMID:40690804
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12278957/
Abstract

BACKGROUND: Brachial nerve palsy without sensory impairment is called cervical lower motor neuron syndrome (CLMNS), and differential diagnosis can be difficult. OBSERVATIONS: A 50-year-old man presented with left brachial nerve palsy (C7, C8, and T1). Neuroradiological imaging findings showed a dural arteriovenous fistula at the cervicothoracic junction. Symptoms were promptly alleviated by direct shunt occlusion via a microsurgical procedure. LESSONS: Cervical spinal venous malformations presenting with CLMNS are very rare. It is essential to perform a differential diagnosis and determine surgical treatment based on an understanding of vascular anatomy. https://thejns.org/doi/10.3171/CASE25353.

摘要

背景：无感觉障碍的臂丛神经麻痹称为颈下运动神经元综合征（CLMNS），鉴别诊断可能困难。 观察结果：一名50岁男性出现左侧臂丛神经麻痹（C7、C8和T1）。神经放射学成像结果显示在颈胸交界处有硬脑膜动静脉瘘。通过显微手术直接封堵分流后症状迅速缓解。 经验教训：表现为CLMNS的颈脊髓静脉畸形非常罕见。基于对血管解剖结构的理解进行鉴别诊断并确定手术治疗至关重要。https://thejns.org/doi/10.3171/CASE25353 。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb90/12278957/edff9592cf88/CASE25353_figure_3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb90/12278957/87a8310acebd/CASE25353_figure_1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb90/12278957/131c65068f10/CASE25353_figure_2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb90/12278957/edff9592cf88/CASE25353_figure_3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb90/12278957/87a8310acebd/CASE25353_figure_1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb90/12278957/131c65068f10/CASE25353_figure_2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb90/12278957/edff9592cf88/CASE25353_figure_3.jpg

相似文献

[1]
Cervical lower motor neuron syndrome caused by cervicothoracic dural arteriovenous fistula: illustrative case.

J Neurosurg Case Lessons. 2025-7-21

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本文引用的文献

[1]
Cervical lower motor neuron syndromes: A diagnostic challenge.

J Neurol Sci. 2025-1-15

[2]
Venous pathology targeted surgical management in Hirayama disease: A comprehensive case series of nine cases exploring this potential etiology.

J Craniovertebr Junction Spine. 2024

[3]
Update on the Pathogenesis, Clinical Diagnosis, and Treatment of Hirayama Disease.

Front Neurol. 2022-2-1

[4]
Incidence and clinical characteristics of spinal arteriovenous shunts: hospital-based surveillance in Okayama, Japan.

J Neurosurg Spine. 2022-4-1

[5]
Hirayama Disease in a Patient with a History of Late-Onset Symptomatic Vein of Galen Aneurysmal Malformation.

Pediatr Neurosurg. 2021

[6]
Rare cause of unilateral upper limb weakness in a young adolescent.

BMJ Case Rep. 2020-12-21

[7]
Cervical Spondylotic Myelopathy: A Guide to Diagnosis and Management.

J Am Board Fam Med. 2020

[8]
Clinical and angioarchitectural characteristics of spinal vascular malformations of the cervical spine.

J Neurosurg Spine. 2020-1-17

[9]
Spinal and Paraspinal Arteriovenous Lesions.

Stroke. 2019-8

[10]
Characteristics of Spontaneous Spinal Cord Infarction and Proposed Diagnostic Criteria.

JAMA Neurol. 2019-1-1

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