硬脑膜小脑幕动静脉瘘治疗后脑干水肿的消退
Resolution of brainstem edema after treatment of a dural tentorial arteriovenous fistula.
作者信息
Alvarez Hortensia, Sasaki-Adams Deanna, Castillo Mauricio
机构信息
Division Interventional Neuroradiology. University of North Carolina at Chapel Hill, USA
Department of Neurosurgery. University of North Carolina at Chapel Hill, USA.
出版信息
Interv Neuroradiol. 2015 Oct;21(5):603-8. doi: 10.1177/1591019915591741. Epub 2015 Jun 26.
Abstract
We report a patient with a petrosal arterio-venous dural fistula draining into the ponto-mesencephalic and medullary venous systems presenting with edema of the brain stem and complete reversal of magnetic resonance imaging (MRI) abnormalities after combined endovascular and surgical treatments. The venous anatomy of the posterior fossa and the significance of the venous involvement as the cause of clinical symptoms and imaging abnormalities in cerebro-medullary vascular lesions are discussed.
摘要
我们报告了一例岩骨动静脉硬脑膜瘘，其引流至脑桥-中脑和延髓静脉系统，患者出现脑干水肿，在接受血管内和手术联合治疗后，磁共振成像（MRI）异常完全逆转。本文讨论了后颅窝的静脉解剖结构以及静脉受累作为脑髓血管病变临床症状和影像异常原因的意义。
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