弓猎人综合征伴旋转性寰枢椎失稳:罕见的关联

Asian journal of neurosurgery Pub Date : 2024-06-25 eCollection Date: 2024-09-01 DOI:10.1055/s-0044-1787865
Malini S, Anu C Thomas, Sajeev S Vadakkedam, Parameswaran K, Anand M
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引用次数: 0

摘要

鲍-亨特综合征(BHS)是一种非常罕见的旋转性椎动脉(VA)功能不全的疾病。BHS 与旋转性寰枢椎不稳定的关联极为罕见。我们报告了一例小儿 BHS,患者颈部旋转时出现椎动脉供血不足。仔细评估后发现 C1-C2 旋转不稳。诱导性数字减影血管造影和动态颈部计算机断层扫描是我们诊断的主要手段。我们的病例强调了一个事实,即颅椎交界处不稳定的年轻患者需要特别考虑VA异常,而且在大多数情况下需要高度怀疑才能做出准确诊断。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bow Hunter's Syndrome with Rotational Atlantoaxial Instability: A Rare Association.

Bow Hunter's syndrome (BHS) is a very rare condition in which there is rotational vertebral artery (VA) insufficiency. The association of BHS with rotational atlantoaxial instability is extremely rare. We are reporting a case of pediatric BHS who presented with features of VA insufficiency on neck rotation. Careful evaluation revealed rotational C1-C2 instability. Provocative digital subtraction angiography and dynamic neck computed tomography were the mainstay of our diagnostic armamentarium. Our case emphasizes the fact that VA abnormalities need special consideration in young patients with craniovertebral junction instability and a high degree of suspicion is necessary in most instances for accurate diagnosis.

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