Chuang Nathaniel A, Shroff Manohar M, Willinsky Robert A, Drake James M, Dirks Peter B, Armstrong Derek C
Division of Neuroradiology, Department of Diagnostic Imaging, Toronto Western Hospital, Toronto, Canada.
AJNR Am J Neuroradiol. 2003 Oct;24(9):1901-5.
We report the clinical and imaging findings in the cases of two children who initially presented with back pain related to epidural AVF in the cervicothoracic spine. Both lesions were of particular interest because of their exclusive epidural and paraspinal venous drainage and the presence of the prominent venous pouches in the epidural space. Angiography revealed that one was multifocal and of relatively slow flow. We think that these unusual features have important implications for treatment.
我们报告了两名儿童的临床和影像学检查结果,这两名儿童最初均表现为与颈胸段脊柱硬膜外动静脉瘘相关的背痛。这两个病变都特别引人关注,因为它们具有独特的硬膜外和椎旁静脉引流,并且硬膜外间隙存在明显的静脉池。血管造影显示其中一个是多灶性的,血流相对缓慢。我们认为这些不寻常的特征对治疗具有重要意义。