Xavier João, Alves Viriato, Vasconcelos Cristiana, Leite António, Cruz Romeu
Serviço de Neurorradiologia, Hospital Geral de Santo António, Porto.
Acta Med Port. 2003 May-Jun;16(3):203-6.
We present an adult male harbouring a vascular malformation, manifested by haemorrhage, which localization, arterial feeders and venous drainage, match the pattern of choroidal type vein of Galen aneurysmal malformations seen in babies, excepting the absence of anterior choroidal arteries participation. A few cases of vein of Galen aneurysmal malformations were already reported in adults, but haemorrhage was never well documented. This haemorrhage may have a pathogenesis similar to those of pial arteriovenous malformations.
我们报告了一名患有血管畸形的成年男性,其表现为出血,该血管畸形的定位、动脉供血和静脉引流与婴儿所见的大脑大静脉动脉瘤样畸形的脉络膜型静脉模式相符,但没有脉络膜前动脉参与。已有少数大脑大静脉动脉瘤样畸形在成人中的病例报道,但出血情况从未得到充分记录。这种出血可能具有与软脑膜动静脉畸形相似的发病机制。