Limaye U S, Siddhartha W, Shrivastav M, Anand S, Ghatge S
Division of Interventional Neuroradiology, Department of Radiology, Seth G. S. Medical College and King Edward Memorial Hospital, Parel, Mumbai, India.
Neurol India. 2004 Mar;52(1):87-90.
From 1996-2002 we treated 5 consecutive cases of pial fistula. There were 3 patients with a single hole-single channel pial fistula and two patients had a complex pial fistula. Three patients presented with intracerebral hematoma and had a focal neurological deficit. One patient presented with history of seizures and 1 patient had headache. The results of the treatment were analyzed both clinically and angiographically. The follow-up period ranged from 6 months to 6 years. All fistulas were treated with concentrated glue. The glue cast included the distal part of the feeding artery, A-V connection and the proximal part of the vein. Post-embolisation angiography showed complete occlusion of two single-hole fistulas and one complex pial A-V fistula and near total occlusion of one single-hole and one complex pial A-V fistula. Four patients had excellent clinical outcome. One patient with single-hole fistula had a hemorrhagic venous infarct resulting in transient hemiparesis.
1996年至2002年期间，我们连续治疗了5例软脑膜瘘患者。其中3例为单孔单通道软脑膜瘘，2例为复杂软脑膜瘘。3例患者出现脑内血肿并伴有局灶性神经功能缺损。1例患者有癫痫病史，1例患者有头痛症状。对治疗结果进行了临床和血管造影分析。随访期为6个月至6年。所有瘘均采用浓缩胶水治疗。胶水铸型包括供血动脉远端、动静脉连接和静脉近端。栓塞后血管造影显示，2例单孔瘘和1例复杂软脑膜动静脉瘘完全闭塞，1例单孔瘘和1例复杂软脑膜动静脉瘘接近完全闭塞。4例患者临床疗效极佳。1例单孔瘘患者发生出血性静脉梗死，导致短暂性偏瘫。
