Morris Jonathan M
Department of Radiology, Mayo Clinic, Rochester, MN 55905, USA.
Radiol Clin North Am. 2012 Jul;50(4):823-39. doi: 10.1016/j.rcl.2012.04.011.
Spinal dural arterial venous fistulas (SDAVFs) are the most common vascular malformation of the spine. They typically present in elderly men with slowly progressive myelopathic symptoms. They often go undiagnosed because of the similar clinical presentation of more common entities in this age group. Radiologists should be familiar with the imaging features of this entity, with the surgical and angiographic interventions, and with the expected postprocedural radiographic appearance. This article reviews spinal vascular anatomy, the radiographic appearances of SDAVF, techniques for finding the SDAVF, clinical presentations, treatment options, and postprocedural radiographic appearances of the spinal cord.
脊髓硬脊膜动静脉瘘(SDAVF)是脊柱最常见的血管畸形。它们通常在老年男性中出现,伴有缓慢进展的脊髓病症状。由于该年龄组中更常见疾病的临床表现相似,它们常常未被诊断出来。放射科医生应熟悉该疾病的影像学特征、手术和血管造影干预措施以及术后预期的影像学表现。本文回顾了脊柱血管解剖、SDAVF的影像学表现、发现SDAVF的技术、临床表现、治疗选择以及脊髓术后的影像学表现。