Wilson M, Enevoldson P, Menezes B
The Walton Centre for Neurology &Neurosurgery, Liverpool, UK.
Pract Neurol. 2008 Dec;8(6):362-9. doi: 10.1136/jnnp.2008.162008.
Intracranial dural arteriovenous fistulae are rare, acquired lesions that may present with intracranial haemorrhage or progressive neurological deficits. Their cause is uncertain, although they are often associated with intracranial venous thrombosis. Their importance lies in the fact that they are potentially curable by endovascular or neurosurgical procedures, but easily missed on routine brain imaging. In addition, clinical presentation is variable, with no easily recognisable "syndrome". A high index of suspicion is therefore required, as well as familiarity with the characteristic radiological abnormalities seen on appropriate imaging.
颅内硬脑膜动静脉瘘是罕见的后天性病变，可表现为颅内出血或进行性神经功能缺损。其病因尚不确定，尽管常与颅内静脉血栓形成有关。其重要性在于它们可通过血管内或神经外科手术治愈，但在常规脑部影像学检查中很容易被漏诊。此外，临床表现多样，没有容易识别的“综合征”。因此，需要高度的怀疑指数，以及熟悉在适当影像学检查中看到的特征性放射学异常。
