烟雾病患者脑动静脉畸形的放射外科治疗：病例报告
Radiosurgical treatment of a cerebral arteriovenous malformation in a patient with moyamoya disease: case report.
作者信息
Seol Ho Jun, Kim Dong Gyu, Oh Chang Wan, Han Dae Hee
机构信息
Department of Neurosurgery, Seoul National University College of Medicine, and Clinical Research Institute, Seoul National University Hospital, Korea.
出版信息
Neurosurgery. 2002 Aug;51(2):478-81; discussion 481-2.
OBJECTIVE AND IMPORTANCE
A case of a cerebral arteriovenous malformation (AVM), which was treated with gamma knife surgery, in a patient with moyamoya disease is described. This is the first report of radiosurgical treatment of a cerebral AVM in a patient with moyamoya disease; the outcome was satisfactory.
CLINICAL PRESENTATION
The patient presented with frequent episodes of transient ischemic attacks and seizures.
INTERVENTION
Staged encephaloduroarteriosynangiosis was performed on both sides, with an interval of 10 months. Postoperative cerebral angiography demonstrated augmented cerebral perfusion, which increased the size of the AVM nidus. The patient subsequently underwent gamma knife surgery, and the AVM completely disappeared 2 years later.
CONCLUSION
Radiosurgery may be a good treatment option for AVMs accompanying moyamoya disease, allowing the preservation of collateral vessels and the prevention of possible misery perfusion.
目的及重要性
本文描述了一例烟雾病患者的脑动静脉畸形（AVM）经伽玛刀手术治疗的病例。这是烟雾病患者脑AVM放射外科治疗的首例报告，治疗结果令人满意。
临床表现
患者表现为频繁发作的短暂性脑缺血发作和癫痫。
干预措施
分阶段在双侧进行脑硬脑膜动脉血管融合术，间隔10个月。术后脑血管造影显示脑灌注增加，这使得AVM病灶增大。患者随后接受了伽玛刀手术，2年后AVM完全消失。
结论
放射外科手术可能是烟雾病合并AVM的一种良好治疗选择，可保留侧支血管并预防可能的灌注不良。
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