Inoue Tomoo, Nishimura Shinjitsu, Hayashi Nakamasa, Numagami Yoshihiro, Tomita Takahiro, Nishijima Michiharu
Department of Neurosurgery, Aomori Prefectural Central Hospital.
Neurol Med Chir (Tokyo). 2007 Jul;47(7):317-21. doi: 10.2176/nmc.47.317.
A 76-year-old man presented with a cavernous sinus (CS) dural arteriovenous fistula (AVF) associated with the development of a meningioma without venous sinus occlusion. Initial digital subtraction angiography did not reveal the CS dural AVF, which appeared simultaneously with the enlargement of the meningioma and lead to right oculomotor nerve paresis. In this case, the development of meningioma possibly increased the vascular tumor bed and affected the venous hemodynamic return, thus leading to the dural AVF.
一名76岁男性患者出现海绵窦(CS)硬脑膜动静脉瘘(AVF),同时伴有脑膜瘤形成但无静脉窦闭塞。最初的数字减影血管造影未显示CS硬脑膜AVF,其在脑膜瘤增大时同时出现,并导致右侧动眼神经麻痹。在该病例中,脑膜瘤的形成可能增加了血管肿瘤床并影响了静脉血液动力学回流,从而导致硬脑膜AVF。