Alexander Matthew, McTaggart Ryan, Santarelli Justin, Fischbein Nancy, Marks Michael, Zaharchuk Greg, Do Huy
Santa Clara Valley Medical Center, Radiology, San Jose, CA.
J Neuroimaging. 2014 Sep-Oct;24(5):520-3. doi: 10.1111/jon.12032. Epub 2013 Jun 7.
Dural arteriovenous fistulae (DAVF) are cerebrovascular lesions with pathologic shunting into the venous system from arterial feeders. Digital subtraction angiography (DSA) has long been considered the gold standard for diagnosis, but advances in noninvasive imaging techniques now play a role in the diagnosis of these complex lesions. Herein, we describe the case of a patient with right-side pulsatile tinnitus and DAVF diagnosed using computed tomography angiography, magnetic resonance with arterial spin labeling, and DSA. Implications for imaging analysis of DAVFs and further research are discussed.
硬脑膜动静脉瘘(DAVF)是一种脑血管病变,存在从动脉供血端向静脉系统的病理性分流。数字减影血管造影(DSA)长期以来一直被视为诊断的金标准,但无创成像技术的进展现在在这些复杂病变的诊断中发挥着作用。在此,我们描述了一例使用计算机断层血管造影、动脉自旋标记磁共振成像和DSA诊断为右侧搏动性耳鸣及DAVF的患者病例。讨论了对DAVF成像分析的意义及进一步研究。