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患有软脑膜动静脉畸形患者的创伤性硬膜外和硬膜下血肿及广泛脑梗死:临床和影像学表现的潜在机制

Traumatic epidural and subdural hematomas and extensive brain infarcts in a patient with pial arteriovenous malformation: Mechanisms underlying clinical and radiological findings.

作者信息

Madhugiri Venkatesh S, Arimappamagan Arivazhagan, Chandramouli Bangalore A

机构信息

Department of Neurosurgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.

出版信息

Asian J Neurosurg. 2012 Oct;7(4):210-3. doi: 10.4103/1793-5482.106657.

DOI:10.4103/1793-5482.106657
PMID:23559990
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3613645/
Abstract

We report a rare case of a patient with a pial arteriovenous malformation (AVM) who presented in altered sensorium. He was found to have large epidural and subdural hematomas overlying a pial AVM. He underwent evacuation of these hematomas and postop computed tomography showed infarcts deep to the site of hematoma evacuation. These infarcts were postulated to be due to a steal phenomenon combined with raised intracranial pressure. The management and possible mechanisms for this rare combination are discussed.

摘要

我们报告了一例罕见病例,一名患有软膜动静脉畸形(AVM)的患者出现意识改变。发现其在软膜AVM上方有大量硬膜外和硬膜下血肿。他接受了这些血肿的清除手术,术后计算机断层扫描显示在血肿清除部位深部有梗死灶。推测这些梗死灶是由于盗血现象合并颅内压升高所致。本文讨论了这种罕见组合的处理方法及可能机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e16/3613645/0bc0f40dd629/AJNS-7-210-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e16/3613645/c952ff17947d/AJNS-7-210-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e16/3613645/22b52c5fb9ec/AJNS-7-210-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e16/3613645/0bc0f40dd629/AJNS-7-210-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e16/3613645/c952ff17947d/AJNS-7-210-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e16/3613645/22b52c5fb9ec/AJNS-7-210-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e16/3613645/0bc0f40dd629/AJNS-7-210-g003.jpg

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