Hashiguchi Akihito, Mimata Chikara, Ichimura Homare, Kuratsu Jun-Ichi
Shinbeppu Hospital-Neurosurgery, Tsurumi 3898, Beppu 874-0833, Japan.
Headache. 2007 Jul-Aug;47(7):1095-7. doi: 10.1111/j.1526-4610.2007.00865.x.
Dural arteriovenous fistulas (DAVFs) at the cervicomedullary junction are rare and have a wide variation in presentation. We report a case of occipital neuralgia (ON) as a rare presenting symptom of cervicomedullary DAVF causing intramedullary hemorrhage at the C1 level. It is important to consider the underlying causes of ON, and precise neurological examinations and radiological evaluations are needed.
颈髓交界区硬脑膜动静脉瘘(DAVF)较为罕见,临床表现差异很大。我们报告一例枕神经痛(ON),这是颈髓DAVF罕见的表现症状,导致C1水平的髓内出血。考虑ON的潜在病因很重要,需要进行精确的神经学检查和影像学评估。