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[伴有症状性血管畸形的小脑静脉异常]

[Cerebellar venous anomalies with symptomatic vascular malformations].

作者信息

Kovács Tibor, Pajor Péter, Bodrogi László, Farsang Marianna, Juhász Csaba, Szirmai Imre

机构信息

Semmelweis Egyetem, Altalános Orvostudományi Kar, Neurológiai Klinika, 1083 Budapest, Balassa u. 6.

出版信息

Ideggyogy Sz. 2002 Jul 20;55(7-8):235-43.

Abstract

Cerebral and cerebellar venous anomalies (previously known as venous angiomas) form the alternative venous drainage of the surrounding nervous tissue because of the un-development of the normal venous system. They are made up of veins with abnormal structure: thick walls, lumens dilated and of irregular calibre that converge radially towards a wide draining vein (caput medusae). They are thought to be a benign condition although they are sometimes associated with cerebellar hemorrhages. Authors report three patients with cerebellar venous anomalies associated either with pontine cavernoma, cerebellar arteriovenous malformation or cerebellar infarct. They illustrate that cerebellar venous anomalies are benign conditions, but their presence might be a marker for additional, pathogenic malformation. It might be difficult to detect the associated malformations even by sophisticated imaging methods, but their presence can modify the treatment options.

摘要

大脑和小脑静脉畸形(以前称为静脉瘤)由于正常静脉系统未发育,形成周围神经组织的替代性静脉引流。它们由结构异常的静脉组成:壁增厚、管腔扩张且口径不规则,呈放射状汇聚至一条粗大的引流静脉(水母头)。尽管它们有时与小脑出血有关,但被认为是一种良性病变。作者报告了3例小脑静脉畸形患者,分别伴有脑桥海绵状血管瘤、小脑动静脉畸形或小脑梗死。他们表明,小脑静脉畸形是良性病变,但其存在可能是存在其他致病性畸形的一个标志。即使通过先进的成像方法也可能难以检测到相关畸形,但其存在会改变治疗方案。

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