用液体栓塞剂治疗血管内房室瘤后出现的枕骨脓肿:病例报告

IF 0.7 Q4 CLINICAL NEUROLOGY
Muhammed Erkam Yuksek, Busra Gul, Mehmet Kenan, Mehmet Fatih Erdi, Seyfullah Yıldırım, Ahmet Onder Guney, Fatih Keskin
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引用次数: 0

摘要

在动静脉畸形中,血管内栓塞术于 20 世纪 60 年代首次用于闭塞供血血管。近年来,血管内治疗的成功率越来越高。因此,血管内治疗在动静脉畸形的治疗中得到了广泛应用。最近,它已成为手术的主要治疗方法或辅助治疗方法。使用液体栓塞剂进行血管内治疗后出现颅内脓肿的文献报道非常罕见。本文介绍了一例使用液体栓塞剂进行血管内治疗后出现脑内脓肿的病例。一名 24 岁的男性患者因头晕和晕厥入院。影像学检查发现其患有动静脉畸形。对动静脉畸形进行了血管内治疗。治疗 2 个月后,他因类似症状入院。患者的头颅影像学检查发现,动静脉畸形周围有脓肿。通过手术清除了商场中的感染物质,并对脓肿进行了引流。经过抗生素治疗后,患者完全康复出院。由于近年来血管内治疗方法的普及,栓塞术后脓肿形成的发生率在不久的将来可能会发生变化。为预防这一严重并发症,应开展进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Occipital abscess developed after endovascular AVM treatment with liquid embolizing agent: case report
In arteriovenous malformations, endovascular embolization was first used in the 1960s to occlude feeding vessels. In recent years, the success of endovascular treatments has increased. Thus, the use of endovascular therapy in the treatment of arteriovenous malformation has become widespread. Recently, it is the primary treatment method or an adjunctive treatment to surgery. The development of intracranial abscess after endovascular treatment with a liquid embolizing agent has been reported very rarely in the literature. In this article, a case of intracerebral abscess that developed after endovascular treatment with a liquid embolizing agent was presented. A 24-year-old male patient was admitted to the hospital with the complaints of dizziness and syncope. Arteriovenous malformation was observed in radiological imaging. Endovascular treatment for the AVM was performed. He was admitted to the hospital with similar complaints 2 months after the treatment. An abscess was observed around the AVM in the patient's cranial imaging. Infected materials in the mall were surgically removed, and the abscess was drained. After antibiotic treatment, the patient was discharged with full recovery. Due to the recent popularity of endovascular treatment methods, the incidence of abscess formation after embolization may change in the near future. Further research should be done to prevent this serious complication.
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