Itakura T, Takifuji K, Ozaki F, Itatani K, Nishiguchi T, Hayashi S, Komai N
Department of Neurological Surgery, Wakayama Medical College, Japan.
Acta Neurochir (Wien). 1989;96(3-4):154-8. doi: 10.1007/BF01456176.
The authors report on a rare case of arteriovenous malformation (AVM) associated with cyst formation. Only five similar cases have been reported. CT findings of the cyst are divided into two types: 1) slit-like low density and 2) round one. Three patients showing slit-like cysts had experienced sudden severe headaches, probably due to haemorrhage. In contrast, two patients showing round cystic lesions had not experienced such sudden headaches and they revealed a nodule in the cyst at surgery. These facts suggest that there may be two different mechanisms for cyst formation in AVM's: haemorrhage and exudation. Slit-like cysts may result from old haemorrhage from the AVM nidus. Round cystic lesions may be due to exudation from the AVM nidus.
作者报告了一例罕见的伴有囊肿形成的动静脉畸形(AVM)病例。此前仅报道过五例类似病例。囊肿的CT表现分为两种类型:1)裂隙状低密度影和2)圆形影。三名表现为裂隙状囊肿的患者曾经历过突然的剧烈头痛,可能是由于出血所致。相比之下,两名表现为圆形囊性病变的患者未经历过此类突然头痛,且手术中发现囊肿内有结节。这些事实表明,AVM囊肿形成可能存在两种不同机制:出血和渗出。裂隙状囊肿可能是由于AVM病灶陈旧性出血所致。圆形囊性病变可能是由于AVM病灶渗出所致。