脊柱骨内动静脉瘘在骨折椎体中。
Spinal intraosseous arteriovenous fistula in the fractured vertebral body.
机构信息
Department of Neurosurgery, Seoul National University College of Medicine, South Korea.
出版信息
AJNR Am J Neuroradiol. 2010 Apr;31(4):688-90. doi: 10.3174/ajnr.A1780. Epub 2009 Nov 5.
Abstract
A 68-year-old woman presenting with progressive paraparesis was diagnosed with an AVF involving a previously fractured L1 vertebral body on which feeders from multiple segmental arteries converged. The most distinctive feature in our patient was that the fistula was located in the vertebral body. Transarterial embolization of the segmental arteries with coils and glue resulted in total obliteration of the fistula, which in turn resulted in symptom improvement.
摘要
一位 68 岁女性因进行性截瘫就诊，诊断为涉及先前骨折的 L1 椎体的动静脉瘘（AVF），其供养动脉来自多个节段性动脉。我们患者最显著的特征是瘘位于椎体中。通过血管内栓塞术用弹簧圈和胶闭塞节段性动脉，导致瘘完全闭塞，进而症状改善。
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