Park Eun Suk, Jung Young-Jin, Yun Jung-Ho, Ahn Jae Sung, Lee Deok Hee
Department of Neurosurgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
J Cerebrovasc Endovasc Neurosurg. 2013 Sep;15(3):251-4. doi: 10.7461/jcen.2013.15.3.251. Epub 2013 Sep 30.
Intraosseous arteriovenous malformation (AVM) in the craniofacial region is rare. When it occurs, it is predominantly located in the mandible and maxilla. We encountered a 43-year-old woman with Klippel-Trenaunay syndrome affecting the right lower extremity who presented with a left orbital chemosis and proptosis mimicking the cavernous sinus dural arteriovenous fistula. Computed tomography angiography revealed an intraosseous AVM of the sphenoid bone. The patient's symptoms were completely relieved after embolization with Onyx. We report an extremely rare case of intraosseous AVM involving the sphenoid bone, associated with Klippel-Trenaunay syndrome.
颅面部骨内动静脉畸形(AVM)较为罕见。当其发生时,主要位于下颌骨和上颌骨。我们遇到一名43岁患有Klippel-Trenaunay综合征且累及右下肢的女性,她表现出左眼眶结膜水肿和眼球突出,酷似海绵窦硬脑膜动静脉瘘。计算机断层血管造影显示蝶骨有骨内AVM。使用Onyx栓塞后,患者症状完全缓解。我们报告了一例极为罕见的累及蝶骨的骨内AVM病例,该病例与Klippel-Trenaunay综合征相关。