Morimoto T, Yoshida S, Basugi N
Department of Neurosurgery, Kanto Rosai Hospital, Kawasaki, Japan.
Neurosurgery. 1992 Jul;31(1):118-20; discussion 121. doi: 10.1227/00006123-199207000-00017.
Most spinal dural arteriovenous malformations are located in the thoracic and lumbar regions. The symptoms include pain, weakness, sensory disturbances, and sphincter dysfunction, which are usually gradual in onset. They are attributed to venous hypertension with a resultant ischemia of the cord, and hemorrhage from them is rare. The authors report an unusual case of a patient with a dural arteriovenous malformation in the cervical spine who was admitted with a sudden onset of severe headache and dysesthesia due to subarachnoid hemorrhage.
大多数脊髓硬脊膜动静脉畸形位于胸段和腰段。症状包括疼痛、无力、感觉障碍和括约肌功能障碍,通常起病隐匿。这些症状归因于静脉高压导致的脊髓缺血,且此类畸形出血罕见。作者报告了一例不寻常的病例,一名颈椎硬脊膜动静脉畸形患者因蛛网膜下腔出血突然出现严重头痛和感觉异常而入院。