马尾隐匿性血管畸形伴大量脊髓硬膜下及蛛网膜下腔血肿。
Angiographically occult vascular malformation of the cauda equina presenting massive spinal subdural and subarachnoid hematoma.
作者信息
Kim Ji-Hyun, Lee Sun-Ho, Kim Eun-Sang, Eoh Whan
机构信息
Department of Neurosurgery Samsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, Korea.
出版信息
J Korean Neurosurg Soc. 2011 Jun;49(6):373-6. doi: 10.3340/jkns.2011.49.6.373. Epub 2011 Jun 30.
Abstract
We report a case of a non traumatic spinal subdural hematoma or subarachnoid hematoma manifesting as lumbago, leg pain and bladder dysfunction that showed angiographically occult vascular malformation (AOVM). Although the spinal angiogram did not reveal any vascular abnormality, the follow-up magnetic resonance image showed AOVM. Complete surgical removal was performed due to the aggravated bladder dysfunction. This case highlights the need to consider bleeding due to spinal AOVM, even when angiography is negative.
摘要
我们报告一例非创伤性脊髓硬膜下血肿或蛛网膜下腔血肿，表现为腰痛、腿痛和膀胱功能障碍，血管造影显示隐匿性血管畸形（AOVM）。尽管脊髓血管造影未显示任何血管异常，但后续的磁共振成像显示了AOVM。由于膀胱功能障碍加重，进行了完整的手术切除。该病例强调，即使血管造影为阴性，也需要考虑脊髓AOVM导致的出血。
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