Fok K F, Holmin S, Alvarez H, Ozanne A, Krings T, Lasjaunias P L
From the Service de Neuroradiologie Diagnostique et Thérapeutique, CHU Le Kremlin Bicêtre, Paris, France - pierre.lasjauniasct.ap-hop-paris.fr.
Interv Neuroradiol. 2006 Jun 15;12(2):113-21. doi: 10.1177/159101990601200205. Epub 2006 Jul 31.
We describe three patients who presented with spontaneous intracerebral hemorrhage resulting from the close association of developmental venous anomaly (DVA) and arteriovenous malformation (AVM). Angioarchitecturally, either the DVA formed the draining pathway for the AVM or they shared a common venous channel. The AVMs were treated by targeted embolization and the DVAs were carefully preserved. It is suggested that the unusual association of an AVM with the less flexible DVA was the cause of hemorrhage.
我们描述了三名因发育性静脉异常(DVA)与动静脉畸形(AVM)紧密关联而出现自发性脑出血的患者。在血管构筑学上,要么DVA形成了AVM的引流途径,要么它们共享一个共同的静脉通道。通过靶向栓塞治疗AVM,并小心保留DVA。提示AVM与灵活性较差的DVA的异常关联是出血的原因。