Compression

压缩
  • 文章类型: Case Reports
    Guyon管的尺骨神经压迫并不是一个常见的实体,血管病变很少作为该综合征的病原体而涉及。
    方法:我们报告了一例年轻男性患者,因尺动脉动脉瘤导致的Guyon管综合征入院,并接受了手术减压。术后过程顺利,患者对结果感到满意。
    Guyon管综合征涉及许多病因,这些病因可以分组。以前的治疗尝试,症状的持续时间和严重程度以及潜在的病因决定了治疗方案。邻近的血管增大不是Guyon管受压的常见原因,文献中报道了一些病例。在大多数报道中,通过打开和释放Guyon管的顶部并切除动脉瘤的手术治疗有助于取得良好的疗效。
    结论:Guyon管综合征的频率低于肘管综合征或腕管综合征,并且已经描述了许多病原体。血管病变不是压迫腕部尺神经的常见原因,通过这种情况,我们将其视为另一种可能的病因,需要适当的治疗才能获得更好的结果。
    UNASSIGNED: The ulnar\'s nerve compression at the Guyon\'s canal is not a frequent entity add to it that vascular lesions are rarely involved as a causative agent of this syndrome.
    METHODS: We report a case of a young male patient admitted in our department for a Guyon\'s canal syndrome due to an aneurysm of the ulnar artery and underwent a surgical decompression. Post-operative course was uneventful and the patient was satisfied with the result.
    UNASSIGNED: Many etiologies are involved in the Guyon\'s canal syndrome and these etiologies can be arranged into groups. Previous treatment attempts, the duration and severity of the symptoms and the underlying etiology dictate the treatment options. Adjacent vascular enlargement is not a usual cause of Guyon\'s canal compression and a few case reports were reported in the literature. Surgical treatment by opening and releasing the roof of Guyon\'s canal and removing the aneurysm helped to achieve good outcome in most reports.
    CONCLUSIONS: Guyon\'s canal syndrome is less frequent than both cubital tunnel syndrome or carpal tunnel syndrome and many causative agents have been described. Vascular lesions are not the usual cause of compressing the ulnar nerve at the wrist and through this case we spotlighted this entity as another possible etiology requiring an adequate treatment for a better outcome.
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  • 文章类型: Case Reports
    我们报告了中年人成功经桡动脉经皮冠状动脉介入治疗后罕见的桡动脉动静脉瘘病例。早期释放手动径向压缩是径向动静脉瘘发展的罪魁祸首。radial动静脉瘘的早期手术修复导致上述患者前臂远端症状的完全缓解。建议年轻的介入心脏病学家在桡动脉上使用压迫性绷带至少一个小时,以消除这种极为罕见的并发症。
    We report a rare case of radial arteriovenous fistula in a middle-aged person after a successful transradial percutaneous coronary intervention. Early release of manual radial compression was the culprit behind the development of radial arteriovenous fistula. Early surgical repair of the radial arteriovenous fistula resulted in the complete resolution of distal forearm symptoms in the abovementioned patient. It is advised for young interventional cardiologists to apply a compressive bandage over the radial artery for a minimum period of one hour to get rid of this extremely rare complication.
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  • 文章类型: Case Reports
    在有风险的患者中使用夹子封闭左心耳(LAA)可降低中风风险。LAA封堵手术率在全球范围内不断增加;然而,已经报道了并发症,冠状动脉压迫是与左心耳周围解剖结构相关的一种可能的致命并发症。
    一名75岁的男子被诊断为φ50mm囊状胸主动脉瘤。他有慢性心房颤动和功能性三尖瓣反流的病史。我们用开放式支架移植物进行了全弓置换,三尖瓣环成形术,左心房迷宫手术,左心房折叠,和使用LAA夹的LAA闭合。患者的血压在术后关闭心包后下降。冠状动脉造影(CAG)证实了左冠状动脉主干(LMT)起源的90%狭窄。经皮冠状动脉介入治疗(PCI),血流动力学稳定了.
    从LAA口的前壁到LMT的距离可能是AtriClip引起的LMT压缩的风险。不同的手术策略,如内部缝合线或用于左心耳闭合的外科缝合器,应该在这种情况下考虑。选择一个适当大小的AtriClip是必不可少的,而使用剪辑,把它放在靠近孔口的地方,并目视检查插入后的压迫,以防止LMT狭窄。当剪辑的LMT压缩被确认时,将心内膜脂肪组织与左心耳着陆区平齐,术中切割和移除夹子或冠状动脉旁路移植术,CAG期间应考虑PCI。
    UNASSIGNED: Closure of the left atrial appendage (LAA) using a clip in at-risk patients reduces stroke risk. The rate of LAA closure procedures is increasing worldwide; however, complications have been reported, with coronary compression being one possible lethal complication associated with the anatomical structures around the LAA.
    UNASSIGNED: A 75-year-old man presented with a diagnosis of a φ50 mm saccular thoracic aortic aneurysm. He had a history of chronic atrial fibrillation and functional tricuspid regurgitation. We performed total arch replacement with an open stent graft, tricuspid ring annuloplasty, left atrium Maze procedure, left atrial plication, and LAA closure using a LAA clip. The blood pressure of the patient dropped after closing the pericardium post-operatively. Coronary artery angiography (CAG) confirmed 90% stenosis at the left coronary main trunk (LMT) origin. Percutaneous coronary intervention (PCI) was performed, and the haemodynamics settled.
    UNASSIGNED: The distance from the anterior wall of the LAA ostium to the LMT can be a risk for AtriClip-induced LMT compression. A different surgical strategy, such as internal sutures or surgical stapler for LAA closure, should be considered under such a condition. Selecting an appropriately sized AtriClip is essential while using the clip, placing it close to the orifice, and visually checking for compression after insertion to prevent LMT stenosis. When LMT compression by the clip was confirmed, levelling the endocardial adipose tissue with the LAA landing zone, cutting and removing the clip or coronary artery bypass grafting during operation, and PCI during CAG should be considered.
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  • 文章类型: Journal Article
    腋弓肌,也被称为兰格的肌肉,胸肩肌,或者是指背阔肌的肌肉变异。在标准解剖中,腋弓肌两侧。在两侧,它起源于背阔肌作为肌肉腹部。接下来,它进入附着在胸大肌肌腱上的宽肌腱结构。然后,发现了插入喙突的狭窄的腱状滑移。腋弓肌受两侧胸背神经支配。有关该区域形态变异的知识很重要,因为与神经血管结构有直接关系,例如,臂丛神经的末端分支,这可能导致感觉异常或肌肉无力。
    The axillary arch muscle, also called Langer\'s muscle, axillopectoralis, or pectodorsalis is a muscular variation of the latissimus dorsi muscle. During a standard anatomical dissection, the axillary arch muscle was found bilaterally. On both sides it originated from the latissimus dorsi as a muscle belly. Next it was passing into wide tendinous structure attached to the tendon of the pectoralis major muscle. Then, the narrow tendinous slip inserted into the coracoid process was found. The axillary arch muscle was innervated by the thoracodorsal nerve on both sides. Knowledge about morphological variations in this region is important since there is a direct relationship with neurovascular structures, e.g., ending branches of the brachial plexus, which may lead to paresthesia or muscle weakness.
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  • 文章类型: Case Reports
    肩线肌是两栖动物中普遍存在的解剖学变体,但在人类中却不常见。在有利的情况下,这种肌肉为肘神经提供保护,但由于肘神经受压而导致神经病变。
    我们介绍了两个临床表现不同但对保守治疗均无反应的病例。我们选择了手术减压术,在术中发现了肩线肌,解剖肌肉纤维。
    考虑到肌肉变异体的存在是术中实现对肩周肌变异体肌纤维的完全解剖并获得肘神经减压的关键点,术后效果满意。
    UNASSIGNED: The anconeus epitrochlearis muscle is an anatomical variant prevalent in amphibians but unusual in humans. In favorable cases, this muscle provides protection to the cubital nerve but can result in neuropathy due to compression of the cubital nerve.
    UNASSIGNED: We present two cases with different clinical manifestations but both did not respond to conservative treatment. We opted for a surgical decompression where the anconeus epitrochlearis muscle was found intraoperatively, and the muscle fibers were dissected.
    UNASSIGNED: Considering the presence of the muscle variant is the key point to intraoperatively achieve a complete dissection of the muscle fibers of the anconeus epitrochlearis muscle variant and obtain the decompression of the cubital nerve with satisfactory postoperative results.
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  • 文章类型: Case Reports
    在抱怨头晕的患者中,在右椎动脉观察到血栓。由于左椎动脉的代偿性肥大,在神经根中检测到压迫。总之,在单侧椎动脉血栓形成的情况下,应该意识到由于代偿性肥大而可能在相邻结构中发展的病理。
    椎动脉(VA)闭塞可导致对侧VA肥大,这可能导致各种病理,包括神经根压迫。
    In the patient who complained of dizziness, thrombus was observed in the right vertebral artery. Compression was detected in the nerve root due to compensatory hypertrophy in the left vertebral artery. In conclusion, in cases of unilateral vertebral artery thrombosis, should be aware of the pathologies that may develop in adjacent structures due to compensatory hypertrophy.
    UNASSIGNED: An occluded vertebral artery (VA) can cause contralateral VA hypertrophy, which can cause various pathologies including nerve root compression.
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  • 文章类型: Journal Article
    目的:该报告描述了4例连接前臂和后臂间室肌肉的辅助束(AB)或纤维。描述了ABs的形态(纯肌肉或肌肉筋膜或肌肉筋膜),强调了它们的附着点,特征为肌肉互连。
    方法:解剖了4具经过福尔马林防腐处理的男性尸体。
    结果:单侧识别了肌肉的相互联系。在第一种情况下,这两个ABs起源于喙臂肌(CB),从肱二头肌(BB)接收纤维,并插入肱三头肌(TB)内侧头。AB在肱血管和正中神经(MN)上形成弓形。在第二种情况下,在CB和TB内侧头之间发现了一个副肌腱膜结构,并在肱血管上延伸。在第三种情况下,BB短头和上臂筋膜之间的肌筋膜ABs,在MN的前面,肱动脉,和尺神经,方向是TB内侧头。在第四种情况下,起源于CB浅层和深头的三个肌肉ABs,与BB短头相同,连接上臂筋膜和结核内侧头,可能夹住肌皮神经,MN,和肱动脉.
    结论:ABs或肌膜膜延伸可能由于其对神经和血管的潜在压迫而导致并发症。临床医生应该考虑肌肉之间可能存在这种桥接变体,在出现缺血的患者的鉴别诊断中,水肿,或MN麻痹症状。
    OBJECTIVE: The report describes four cases of accessory bundles (ABs) or fibers connecting the muscles of the anterior with the posterior arm compartment. The ABs morphology (pure muscular or musculofascial or musculoaponeurotic) is described emphasizing their attachment points, characterized as muscles\' interconnections.
    METHODS: Four formalin-embalmed donated male cadavers were dissected.
    RESULTS: The muscles\' interconnections were unilaterally identified. In the first case, the two ABs originated from the coracobrachialis muscle (CB), received fibers from the biceps brachii (BB), and were inserted into the triceps brachii (TB) medial head. The ABs created an arch over the brachial vessels and the median nerve (MN). In the second case, an accessory musculoaponeurotic structure was identified between CB and TB medial head and extended over the brachial vessels. In the third case, the myofascial ABs between the BB short head and the upper arm fascia, coursed anterior to the MN, the brachial artery, and the ulnar nerve, with direction to the TB medial head. In the fourth case, the three muscular ABs originating from the CB superficial and deep heads, in common with the BB short head, joined the upper arm fascia and the TB medial head and possibly entrapped the musculocutaneous nerve, the MN, and the brachial artery.
    CONCLUSIONS: ABs or musculoaponeurotic extensions may predispose to complications due to their potential compression on nerves and vessels. Clinicians should consider the possible existence of such bridging variants between muscles, in the differential diagnosis of a patient presenting with ischemia, edema, or MN palsy symptoms.
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  • 文章类型: Case Reports
    1型神经纤维瘤病(NF1),以前称为vonRecklinghausen病是一种常染色体显性疾病,涉及多系统。在周围神经系统,它导致脊髓或颅神经鞘组织良性肿瘤的发展,被称为“神经纤维瘤”。“我们报告了一名40岁的脊髓压迫综合征患者,其中脊柱MRI显示为颈椎,背侧和腰骶部神经纤维瘤显示神经纤维瘤病1型。
    Neurofibromatosis type 1 (NF1), formerly known as von Recklinghausen disease is an autosomal dominant disease with multisystem involvement. In the peripheral nervous system, it leads to the development of benign tumors from the tissue of the spinal or cranial nerve sheaths, known as \"neurofibromas.\" We report the case of a 40-year-old patient with spinal cord compression syndrome in whom spinal MRI revealed cervical, dorsal and lumbosacral neurofibromas revealing neurofibromatosis type 1.
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  • 文章类型: Journal Article
    微柱压缩是理解小规模力学的一种选择方法。主要用电子显微镜或白光束显微X射线衍射进行研究。本文的目的是显示使用相干X射线束的衍射的可能性。在压缩过程中原位研究了具有其基座(即其支撑体)的外延中的InSb微柱。首先,使用与柱尺寸匹配的准直光束的实验可以确定样品何时进入塑性状态,独立于实验伪影引起的小缺陷。第二个实验涉及使用纳米聚焦光束扫描X射线衍射图;尽管光束具有相干性,衍射图案中来自基座和微柱的贡献可以分开,使塑性应变场的空间分辨研究成为可能。然而,由于柱以与基座相同的角度衍射的事实,阻碍了弹性应变场的定量测量。最后,在这些实验中不可能重建图像,无论是在原位由于模糊的条纹在加载或事后,因为缺陷密度后屈服太高。然而,显示了如何确定弹性状态下支柱的弹性弯曲。弯曲角度约为0.3°,并提出了一种估计样本曲率半径的方法。
    Micropillar compression is a method of choice to understand mechanics at small scale. It is mainly studied with electron microscopy or white-beam micro-Laue X-ray diffraction. The aim of the present article is to show the possibilities of the use of diffraction with a coherent X-ray beam. InSb micropillars in epitaxy with their pedestals (i.e. their support) are studied in situ during compression. Firstly, an experiment using a collimated beam matching the pillar size allows determination of when the sample enters the plastic regime, independently of small defects induced by experimental artefacts. A second experiment deals with scanning X-ray diffraction maps with a nano-focused beam; despite the coherence of the beam, the contributions from the pedestal and from the micropillar in the diffraction patterns can be separated, making possible a spatially resolved study of the plastic strain fields. A quantitative measurement of the elastic strain field is nevertheless hampered by the fact that the pillar diffracts at the same angles as the pedestal. Finally, no image reconstructions were possible in these experiments, either in situ due to a blurring of the fringes during loading or post-mortem because the defect density after yielding was too high. However, it is shown how to determine the elastic bending of the pillar in the elastic regime. Bending angles of around 0.3° are found, and a method to estimate the sample\'s radius of curvature is suggested.
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  • 文章类型: Case Reports
    许多解剖学变异可能导致三叉神经痛。这些包括小脑上动脉压迫,较不常见,三叉神经洞附近的骨质压迫。在这里,我们报告了尸体标本的大体和组织学发现,该尸体标本具有三叉神经洞穴的骨屋顶。在例行解剖男性尸体的过程中,观察到颅底的异常发现。对三叉神经的触诊发现了一个完全僵化的屋顶。骨针长1.22厘米,宽0.76毫米。注意到三叉神经在其与三叉神经骨化的顶部接触的正下方具有凹进区域。组织学分析未发现明显的神经变性。注意到正常的成熟骨组织被硬脑膜鞘包围。需要进一步的放射学研究来更好地阐明三叉神经痛(TN)的临床症状是否与三叉神经痛有关。然而,医生应认识到三叉神经洞的影像学骨化是TN的潜在原因。
    Many anatomical variants can potentially contribute to trigeminal neuralgia. These include compression by the superior cerebellar artery and less commonly, bony compression near the trigeminal cave. Herein, we report the gross and histological findings of a cadaveric specimen found to have a bony roof of the trigeminal cave. During the routine dissection of a male cadaver, an unusual finding of the skull base was observed. Palpation over the porus trigeminus identified a completely ossified roof. The bony spicule was 1.22 cm long and 0.76 mm wide. The trigeminal nerve was noted to have an indented region just below its contact with the ossified roof of the porus trigeminus. No frank nerve degeneration was noted with histological analysis. Normal mature bone tissue was noted surrounded by a sheath of dura mater. Future radiographic research is needed to better elucidate if ossification of the roof of the trigeminal cave is related to clinical symptoms of trigeminal neuralgia (TN). However, physicians should be cognizant of radiographic ossification of the trigeminal cave as a potential cause of TN.
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