[1]李振兴,王春晖,侯立军.硬脑膜动静脉瘘向脊髓表面引流1例并文献复习[J].临床神经外科杂志,2017,14(01):38-41.
 LI Zhen-xing,WANG Chun-hui,HOU Li-jun..Intracranial duralarteriovenous fistulas with spinal perimedullary venous drainage:case report and literature review[J].Journal of Clinical Neurosurgery,2017,14(01):38-41.
点击复制

硬脑膜动静脉瘘向脊髓表面引流1例并文献复习()
分享到:

《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
14
期数:
2017年01期
页码:
38-41
栏目:
论著
出版日期:
2017-02-08

文章信息/Info

Title:
Intracranial duralarteriovenous fistulas with spinal perimedullary venous drainage:case report and literature review
作者:
李振兴王春晖侯立军
200003上海,第二军医大学附属长征医院神经外科
Author(s):
LI Zhen-xingWANG Chun-huiHOU Li-jun.
Department of Neurosuegery,Changzheng Hospital,Second Military Medical University, Shanghai 200003,China
关键词:
硬脑膜动静脉瘘脊髓静脉引流脊髓症状
Keywords:
intracranial duralarteriovenous fistulas cognard type Ⅴ spinal perimedullary venous drainage myelopathy
分类号:
R743.4
文献标志码:
A
摘要:
目的:探讨硬脑膜动静脉瘘向脊髓引流的临床特点、影像学表现和诊疗方法。方法:回顾性分析1例硬脑膜动静脉瘘向脊髓引流患者,以及检索1996~2015年国内外文献报道的相关病例的临床资料。结果:本例患者予以介入栓塞治疗后症状好转。检索文献获取临床资料完整的患者共47例,其中手术治疗者17例,介入治疗者25例。结论:硬脑膜动静脉瘘向脊髓引流为一种少见的血管畸形,脊髓损害的症状明显。诊断的金标准是完整的脑血管造影检查。最佳治疗方法尚有争议,主要包括介入栓塞治疗和手术夹闭瘘口。
Abstract:
Objective:To explore the clinical manifestations,diagnosis,and treatments of intracranial duralarteriovenous fistulas(IDAVF) with spinal perimedullary venous drainage(Cognard type Ⅴ).Methods:The clinical data of one patient with Cognard type Ⅴ IDAVF were analyzed retrospectively.We systematically reviewed thepublished clinical data of Cognard type Ⅴ IDAVF and discussed the clinical characteristics,imaging features,treatments and prognosis.Results:After embolization,the angiography showedobliteration of the fistula and disappearance of the spinalperimedullary venous drainage.We systematically reviewed 47 complete published Cognard type Ⅴ IDAVF.17 patients received surgical approach and 25 patients undergone embolization.Conclusion:Cognard type Ⅴ IDAVF is an uncommon presentation and is usually challenging because the presentingsymptoms are variable and often related tospinal dysfunction .Complete cerebral angiography is the gold standard of diagnosis。The optimal management strategy for TDAVF is stillControversialwhich includes surgical approach and embolization.

相似文献/References:

[1]王斌,许天助,周路,等.前颅窝底硬脑膜动静脉瘘伴额叶血肿的手术治疗[J].临床神经外科杂志,2018,15(06):415.[doi:10.3969/j.issn.1672-7770.2018.06.004]
 WANG Bin,XU Tian-zhu,ZHOU Lu,et al.Surgical treatment of dural arteriovenous fistula of anterior cranial fossa with frontal hematoma[J].Journal of Clinical Neurosurgery,2018,15(01):415.[doi:10.3969/j.issn.1672-7770.2018.06.004]

备注/Memo

备注/Memo:
国家自然科学基金(81371382)
更新日期/Last Update: 2017-02-15