胸硬膜动静脉瘘高选择性血管内栓塞后快速发作的fox - alajouanine综合征的成功治疗:病例报告,技术说明和文献复习。

Pablo Martínez, José Alfredo González Soto, Luis A Rodríguez Hernández, Mallyolo E Pelayo-Salazar, Iván A Rodríguez-Hernández, Michel G Mondragón-Soto, Jorge Balderrama-Bañares, Héctor A Montenegro-Rosales
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引用次数: 0

摘要

fox - alajouanine综合征是中老年人亚急性下肢无力的一种极为罕见但重要的鉴别诊断。目前对这种疾病的病理生理学的理解,以及最近关于成功的血管内干预的出版物,已经改变了其治疗的观点和临床方法。尽管如此,神经外科途径的临床治疗仍然优于血管内栓塞。在此,我们报告一例63岁男性患者,在6个月的时间内发展为快速进展的胸髓综合征,损害了下肢的运动功能、括约肌控制和感觉功能。患者被诊断为继发于硬脑膜动静脉瘘的静脉充血性脊髓病,并采用超选择性导管术进行血管内栓塞。在8个月的时间里,患者成功地恢复了运动和感觉功能。本病例支持使用微创技术治疗累及脊柱的硬脑膜动静脉瘘。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Successful treatment of rapid onset Foix-Alajouanine syndrome following hyperselective endovascular embolization of thoracic dural arteriovenous fistula: Case report, technical note and literature review.

Foix-Alajouanine syndrome is an extremely rare yet important differential diagnosis for subacute lower limb weakness in middle-aged to elderly adults. Current understanding of the pathophysiology of this disease, along with recent publications on successful endovascular interventions, has shifted the perspective and clinical approach for its management. Nonetheless, neurosurgical pathways for clinical treatment are still preferred over endovascular embolization. Here, we present the case of a 63-year-old male who developed a rapidly progressing thoracic medullary syndrome over a 6-month period, compromising motor function, sphincter control, and sensory function in the lower extremities. The patient was diagnosed with venous congestive myelopathy secondary to a dural arteriovenous fistula and underwent endovascular embolization using hyper-selective catheterization. Over an 8-month period, the patient experienced successful recovery of both motor and sensory functions. This case supports the use of minimally invasive techniques for the treatment of dural arteriovenous fistulae with spinal involvement.

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