Tabatabai Seyed Ali Fakhr, Zadeh Mehdi Zeinali, Habibi Zohreh, Meybodi Ali Tayebi, Hashemi Mohammad
Department of Neurosurgery, Imam Khomeini hospital, Tehran University of Medical Sciences, Tehran, Iran.
Cases J. 2008 Nov 19;1(1):335. doi: 10.1186/1757-1626-1-335.
Nongalenic intradural arteriovenous fistulas, although uncommon, are clinically important. Choosing the appropriate therapeutic approach has been a controversial issue within the last decade.A 15-year-old male was presented with a calcified nongalenic arteriovenous fistula in the left parietal region, supplied by the left middle cerebral artery, and draining into the left lateral sinus. The patient was managed surgically with traditional clipping the feeder artery, along with piecemeal resection of the huge calcified mass. Although endovascular methods may be the treatments of choice in similar cases, in such huge calcified lesion, non-amenable to endovascular occlusion, open surgery seems to be preferred.
非盖伦静脉窦内硬脑膜动静脉瘘虽然不常见，但在临床上很重要。在过去十年中，选择合适的治疗方法一直是一个有争议的问题。一名15岁男性患者，左侧顶叶区域存在一个钙化的非盖伦静脉窦内硬脑膜动静脉瘘，由左侧大脑中动脉供血，引流至左侧横窦。患者接受了手术治疗，采用传统方法夹闭供血动脉，并逐步切除巨大的钙化肿块。尽管血管内治疗方法可能是类似病例的首选治疗方法，但对于这种巨大的钙化病变，无法进行血管内闭塞，开放手术似乎更可取。
