Burger Ingrid M, Tamargo Rafael J, Broussard Jennifer, Gailloud Philippe
Division of Interventional Neuroradiology, and Departments of Pathology and Neurosurgery, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
J Neurosurg. 2005 Jul;103(1):179-81. doi: 10.3171/jns.2005.103.1.0179.
The authors report on the case of a 28-year-old woman presenting with an intraosseous arteriovenous fistula (AVF) located in the left parietal bone. The fistula was formed by direct arteriovenous shunts connecting branches of the left middle meningeal and superficial temporal arteries with a parietal diploic vein. Drainage occurred through both the external and internal jugular venous systems. Therapy consisted of combined surgical and endovascular approaches. The results of a pathological examination of the resected AVF showed mild enlargement of the diploic space. The angiographic appearance, pathological anatomy, and treatment of this rare lesion are discussed, as is a possible relationship between diploic AVFs and the development of aneurysm bone cysts.
作者报告了一例28岁女性患者，其左顶骨存在骨内动静脉瘘（AVF）。该瘘由左脑膜中动脉和颞浅动脉分支与顶骨板障静脉之间的直接动静脉分流形成。通过颈外静脉和颈内静脉系统进行引流。治疗采用手术和血管内治疗相结合的方法。对切除的AVF进行病理检查的结果显示板障间隙轻度扩大。本文讨论了这种罕见病变的血管造影表现、病理解剖和治疗方法，以及板障动静脉瘘与动脉瘤性骨囊肿发生之间的可能关系。
