使用C形臂锥形束计算机断层扫描成像观察脑动静脉畸形的自然闭塞：一例报告
Imaging the spontaneous obliteration of a cerebral arteriovenous malformation using c-arm cone beam computed tomography: A case report.
作者信息
Braileanu Maria, Yang Wuyang, Caplan Justin M, Huang Judy
机构信息
School of Medicine, Georgetown University, Washington, DC 20057, USA.
Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA.
出版信息
Surg Neurol Int. 2015 Sep 28;6(Suppl 15):S399-401. doi: 10.4103/2152-7806.166174. eCollection 2015.
BACKGROUND
Spontaneous occlusion of a cerebral arteriovenous malformation (AVM) without treatment is a rare occurrence.
CASE DESCRIPTION
We report the case of a 56-year-old male who presented with aphasia and right hemiparesis secondary to intracerebral and intraventricular hemorrhage. Diagnostic digital subtraction angiography (DSA) and c-arm cone beam computed tomography (CBCT) demonstrated a 5 mm Spetzler-Martin Grade III left thalamic AVM drained by the internal cerebral vein. Subsequent DSA and CBCT studies confirmed the spontaneous obliteration of the AVM.
CONCLUSIONS
In this case, CBCT provided high resolution imaging of the AVM. Future clinical use of CBCT as an adjunct to DSA may enhance the diagnostic and therapeutic imaging of vascular lesions.
背景
未经治疗的脑动静脉畸形（AVM）自发闭塞是一种罕见情况。
病例描述
我们报告一例56岁男性，因脑内和脑室内出血继发失语和右侧偏瘫。诊断性数字减影血管造影（DSA）和C形臂锥束计算机断层扫描（CBCT）显示一个5毫米的Spetzler-Martin III级左侧丘脑AVM，由大脑内静脉引流。随后的DSA和CBCT研究证实了该AVM的自发闭塞。
结论
在本病例中，CBCT提供了AVM的高分辨率成像。未来将CBCT作为DSA的辅助手段用于临床，可能会增强血管病变的诊断和治疗成像。
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