Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, UT 84132, USA.
J Clin Neurosci. 2013 Jul;20(7):1036-8. doi: 10.1016/j.jocn.2012.10.007. Epub 2013 Apr 22.
High-voltage electrical burns can cause immediate and long-term neurological and cerebrovascular injuries. The authors present a 21-year-old man who developed an intracranial arteriovenous fistula secondary to high-voltage electrical injury. CT angiography demonstrated a left supraclinoid internal carotid artery (ICA)-inferior petrosal sinus (IPS) fistula. A subsequent angiogram revealed an irregularity of the cavernous and supraclinoid ICA with stenosis involving the supraclinoid segment and a fistulous connection between the ICA and IPS distal to the ophthalmic take-off and proximal to the anterior choroidal artery. The patient underwent a decompressive hemicraniectomy and clip-wrapping of his ICA pseudoaneurysm with successful obliteration of the fistulous connection. To our knowledge, this is the first report of an intracranial arteriovenous fistula secondary to an electrical burn injury.
高压电烧伤可导致即刻和长期的神经和脑血管损伤。作者报告了一例 21 岁男性，因高压电损伤导致颅内动静脉瘘。CT 血管造影显示左侧颈内动脉（ICA）岩下窦（IPS）镰状窦前段动静脉瘘。随后的血管造影显示海绵窦和颈内动脉镰状窦段不规则，狭窄累及颈内动脉镰状窦段，ICA 和 IPS 之间存在瘘管连接，位于眼动脉起始段远端和脉络膜前动脉近端。患者接受了减压性半颅骨切开术和颈内动脉假性动脉瘤夹闭术，瘘管连接成功闭塞。据我们所知，这是首例报道的因电烧伤导致颅内动静脉瘘。
