Friedman J A, Pollock B E, Nichols D A
Department of Neurological Surgery, Mayo Clinic, Rochester, Minnesota, USA.
J Neurosurg. 2000 Dec;93(6):1058-61. doi: 10.3171/jns.2000.93.6.1058.
This 61-year-old man with a right-sided tentorial dural arteriovenous fistula (DAVF) was initially treated with staged stereotactic radiosurgery and transarterial embolization. Results of follow-up cerebral angiography performed 4 years later demonstrated complete obliteration of the dAVF and development of a previously undetected cerebellar arteriovenous malformation (AVM). The newly diagnosed AVM was treated with repeated stereotactic radiosurgery. This represents the first reported case of the development of a cerebral AVM documented in an adult by serial angiography.
这位61岁的男性患有右侧小脑幕硬脑膜动静脉瘘(DAVF),最初接受了分期立体定向放射外科手术和经动脉栓塞治疗。4年后进行的随访脑血管造影结果显示,DAVF完全闭塞,同时发现了一个之前未检测到的小脑动静脉畸形(AVM)。新诊断出的AVM接受了重复立体定向放射外科手术治疗。这是首例通过系列血管造影记录在成人中发生脑AVM的病例报告。