Malomo A O, Emejulu J K C, Shokunbi M T, Adeyinka A O, Ogunniyi A
Division of Neurological Surgery, Department of Surgery, University College Hospital, Ibadan, Nigeria.
Afr J Med Med Sci. 2005 Sep;34(3):311-5.
Spinal arteriovenous malformations (AVMs) being even rarer than cranial ones, constitute 3 - 4% of all spinal tumours, with an overall male:female ratio of 4:1. We report the case of a 24-year old female Youth Corps member who presented with an apoplectic onset of a left hemiparesis, progressively deteriorating to an incomplete quadriplegia with motor power of 2 and 0 in the right and left lower limb muscle groups, respectively. Magnetic resonance imaging (MRI) showed a vascular malformation whose precise nature was indeterminate; the definitive diagnosis of a Glomus AVM was only made intra-operatively. Laminectomy with complete surgical excision was done and she gradually improved to ambulate with minimal support. The experience in our unit tends to support the observation in literature that spinal arteriovenous malformations could be very rare, and depending on the location, could be amenable to complete surgical excision and recovery of neurological function.
脊髓动静脉畸形（AVM）比颅内动静脉畸形更为罕见，占所有脊髓肿瘤的3%-4%，总体男女比例为4:1。我们报告一例24岁女性青年团员病例，该患者以左侧偏瘫的中风样起病，逐渐恶化为不完全四肢瘫，右下肢和左下肢肌肉群的肌力分别为2级和0级。磁共振成像（MRI）显示有一个血管畸形，其确切性质尚不确定；仅在手术中才确诊为球样AVM。实施了椎板切除术并完整切除病变，她逐渐康复，在极少的支撑下能够行走。我们科室的经验倾向于支持文献中的观察结果，即脊髓动静脉畸形可能非常罕见，并且根据其位置，有可能通过手术完全切除并恢复神经功能。
