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海绵窦硬脑膜动静脉瘘伴脑出血起病,酷似高血压性壳核出血。

Dural arteriovenous fistulas of the cavernous sinus with onset of intracerebral haemorrhage mimicking hypertensive putaminal hemorrhage.

作者信息

Sakuma I, Takahashi S, Tomura N, Kinouchi H

机构信息

Division of Radiology and Radiation Oncology, Department of Integrated Medicine, Akita University School of Medicine, Akita city, Japan.

出版信息

Acta Neurochir (Wien). 2006 Aug;148(8):915-8. doi: 10.1007/s00701-006-0848-8. Epub 2006 Jun 29.

DOI:10.1007/s00701-006-0848-8
PMID:16807679
Abstract

We describe a patient with dural arteriovenous fistulas of the cavernous sinus (CS-dAVFs) who developed an intracerebral haemorrhage (ICH) mimicking hypertensive putaminal haemorrhage. Drainage into the superior ophthalmic vein (SOV) and inferior petrosal sinus (IPS) was not demonstrated on cerebral angiography, and only cortical venous reflux into the Sylvian vein was observed. In cases of venous drainage concentrated on the Sylvian vein, CS-dAVFs could indicate ICH with radiological appearance resembling putaminal haemorrhage.

摘要

我们描述了一名患有海绵窦硬脑膜动静脉瘘(CS-dAVF)的患者,其发生了类似高血压性壳核出血的脑内出血(ICH)。脑血管造影未显示引流至上眼静脉(SOV)和岩下窦(IPS),仅观察到皮质静脉回流至外侧裂静脉。在静脉引流集中于外侧裂静脉的情况下,CS-dAVF可能提示具有类似壳核出血影像学表现的ICH。

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引用本文的文献

1
Clinical and angiographic characteristics of cavernous sinus dural arteriovenous fistulas manifesting as venous infarction and/or intracranial hemorrhage.表现为静脉梗死和/或颅内出血的海绵窦硬脑膜动静脉瘘的临床和血管造影特征。
Neuroradiology. 2009 Jan;51(1):53-60. doi: 10.1007/s00234-008-0468-5. Epub 2008 Oct 25.