Tomura N, Inugami A, Higano S, Uemura K, Hadeishi H, Yasui N
Department of Radiology, Research Institute for Brain and Blood Vessels, Akita, Japan.
Surg Neurol. 1990 Jan;33(1):37-42. doi: 10.1016/0090-3019(90)90223-c.
We present a rare case of medullary venous malformations with an arterial component coexisting with two small arteriovenous malformations in the same area. The onset was abrupt with subcortical hematoma due to the rupture of one arteriovenous malformation in the frontal area. Single photon emission computed tomography using 99mTc-hexamethylpropyleneamine oxime showed a high-uptake area around the hematoma suggesting increased blood flow. Two types of vascular malformation coexisting in the same area support a theory of congenital malformation originating in intrauterine life.
我们报告了一例罕见的髓静脉畸形病例,其伴有动脉成分,且与同一区域的两个小动静脉畸形共存。发病突然,因额叶区一个动静脉畸形破裂导致皮质下血肿。使用99mTc-六甲基丙烯胺肟的单光子发射计算机断层扫描显示血肿周围有一个高摄取区域,提示血流增加。两种类型的血管畸形在同一区域共存支持了起源于子宫内生活的先天性畸形理论。