肺动静脉畸形作为栓塞性中风的病因：病例报告及文献复习
Pulmonary arteriovenous malformation as a cause of embolic stroke: case report and review of the literature.
作者信息
Anticoli Sabrina, Pezzella Francesca Romana, Siniscalchi Antonio, Gallelli Luca, Bravi Maria Cristina
机构信息
Stroke Unit Emergency Department, S. Camillo-Forlanini Hospital, Rome, Italy.
Department of Neurology, Annunziata Hospital, Cosenza, Italy.
出版信息
Interv Neurol. 2015 Jan;3(1):27-30. doi: 10.1159/000368969.
BACKGROUND
Pulmonary arteriovenous malformation (PAVM) is an abnormal communication between pulmonary arteries and veins responsible for right-to-left shunting that could induce the development of embolic stroke.
SUMMARY
We describe an 82-year-old woman without history of respiratory or neurological diseases, who presented at our observation unit with acute onset of cerebral ischemia. Clinical, laboratory and radiological findings diagnosed a PAVM.
KEY MESSAGES
Usually, endovascular procedures based on embolization or, alternatively, surgery represent the recommended treatment. However, both hormonal therapy and thrombolytic therapy can be used. In our patient, treatment with warfarin induced a remission of symptoms. This strategy should be tested in larger studies.
背景
肺动静脉畸形（PAVM）是肺动脉与静脉之间的异常分流，可导致右向左分流，进而引发栓塞性中风。
总结
我们描述了一名82岁女性，无呼吸或神经疾病史，因急性脑缺血入住我们的观察病房。临床、实验室和影像学检查结果诊断为PAVM。
关键信息
通常，基于栓塞的血管内手术或手术是推荐的治疗方法。然而，激素治疗和溶栓治疗也可使用。在我们的患者中，华法林治疗使症状缓解。这一策略应在更大规模的研究中进行验证。
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