Deasy N P, Gholkar A R, Cox T C, Jeffree M A
Department of Neuroradiology, King's College Hospital, London, UK.
Neuroradiology. 1999 Apr;41(4):308-12. doi: 10.1007/s002340050754.
Tentorial arteriovenous dural fistulae are uncommon. They are aggressive lesions: of all intracranial dural fistulae they are the most likely to present with haemorrhage. Treatment options include surgical excision or interruption of leptomeningeal draining veins and arterial embolisation in isolation or in combination with surgery. There has been one case report of treatment by percutaneous transvenous coil embolisation. We describe successful transvenous coil embolisation of two tentorial dural fistulae presenting with subarachnoid haemorrhage.
小脑幕动静脉硬脑膜瘘并不常见。它们是侵袭性病变:在所有颅内硬脑膜瘘中,它们最有可能出现出血症状。治疗选择包括手术切除或阻断软脑膜引流静脉以及单独或与手术联合进行动脉栓塞。有一例经皮经静脉弹簧圈栓塞治疗的病例报告。我们描述了两例以蛛网膜下腔出血为表现的小脑幕硬脑膜瘘经静脉弹簧圈栓塞治疗成功的案例。