动静脉畸形栓塞术后中枢性疼痛缓解。病例报告。

Resolution of central pain after embolization of an arteriovenous malformation. Case report.

作者信息

Fukuhara T, McKhann G M, Santiago P, Eskridge J M, Loeser J D, Winn H R

机构信息

Department of Neurological Surgery, Harborview Medical Center, University of Washington, Seattle, USA.

出版信息

J Neurosurg. 1999 Mar;90(3):575-9. doi: 10.3171/jns.1999.90.3.0575.

DOI:10.3171/jns.1999.90.3.0575

PMID:10067934

Abstract

The authors describe a patient with right-sided central pain resulting from a left parietal arteriovenous malformation (AVM). The AVM was treated with staged embolization and stereotactic radiosurgery, and its obliteration was documented on follow-up angiographic studies. Surprisingly, the patient noted complete resolution of her pain syndrome after embolization, which is an extremely rare result. Central pain and its proposed mechanisms are discussed.

摘要

作者描述了一名因左侧顶叶动静脉畸形（AVM）导致右侧中枢性疼痛的患者。该AVM接受了分期栓塞和立体定向放射外科治疗，随访血管造影研究记录了其闭塞情况。令人惊讶的是，患者在栓塞后疼痛综合征完全缓解，这是极为罕见的结果。文中讨论了中枢性疼痛及其可能的机制。