Defreyne L, Achten E, Vandekerckhove T, Kunnen M
Department of Radiology and Medical Imaging, University Hospital of Gent, Belgium.
Eur Radiol. 1999;9(4):734-7. doi: 10.1007/s003300050745.
Patients suffering from a cervical spinal cord arteriovenous malformation (SCAVM) run high risk of devastating subarachnoid hemorrhage and hematomyelia. Therefore, cervical SCAVMs represent a compelling indication for surgical or endovascular therapy. The authors report on an acute life-threatening subarachnoid hemorrhage from a cervical SCAVM that ruptured during an embolization procedure. Causality and therapeutic management are discussed.
患有颈段脊髓动静脉畸形(SCAVM)的患者发生毁灭性蛛网膜下腔出血和脊髓出血的风险很高。因此,颈段SCAVM是手术或血管内治疗的有力指征。作者报告了一例在栓塞过程中破裂的颈段SCAVM导致的急性危及生命的蛛网膜下腔出血。对因果关系和治疗管理进行了讨论。