Romano Andrea, Consoli Arturo, Tari Capone Francesca, Biraschi Francesco, Suma Giacomo, Mangiafico Salvatore, Bozzao Alessandro
Department of Neuroradiology, S. Andrea Hospital, University Sapienza, Italy
Department of Odontostomatological and Maxillo-Facial Sciences, Umberto I Hospital, University Sapienza, Italy.
Neuroradiol J. 2016 Dec;29(6):455-457. doi: 10.1177/1971400916666557. Epub 2016 Aug 26.
We describe the use of time-resolved MR angiography in the diagnosis of cervical epidural arteriovenous fistula before final diagnosis and embolization was achieved by digital subtraction angiography. A 42-year-old woman was referred to us because of headache and dizziness, in addition to radiculopathy of the right superior limb. Angiographic examinations documented a direct high-flow arteriovenous fistula between the right vertebral artery and the cervical epidural venous plexus. The point of fistula was located in the upper third of the cervical segment below the C2 arch. Time-resolved MR angiography might add important information in case of suspected arteriovenous fistula, helpful both for therapeutic decisions and follow-up.
我们描述了在通过数字减影血管造影术实现最终诊断和栓塞之前，时间分辨磁共振血管造影术在诊断颈段硬膜外动静脉瘘中的应用。一名42岁女性因头痛、头晕以及右上肢神经根病被转诊至我院。血管造影检查证实右侧椎动脉与颈段硬膜外静脉丛之间存在直接的高流量动静脉瘘。瘘口位于C2弓下方颈段的上三分之一处。对于疑似动静脉瘘的病例，时间分辨磁共振血管造影术可能会提供重要信息，这对治疗决策和随访均有帮助。
