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一名青少年患者因枕部动静脉畸形导致有症状的“伴先兆偏头痛”或与单纯部分性癫痫相关的“归因于动静脉畸形(AVM)的头痛”——病例报告

Symptomatic "Migraine with Aura" Due to Occipital Arteriovenous Malformation or "Headache Attributed to Arteriovenous Malformation (AVM)" Associated with Simple Partial Seizures in an Adolescent Patient - Case Presentation.

作者信息

Roceanu Adina, Antochi Florina, Bajenaru Ovidiu

机构信息

Department of Neurology, Emergency University Hospital, Bucharest, Romania.

出版信息

Maedica (Bucur). 2015 Sep;10(4):348-351.

PMID:28465737
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5394447/
Abstract

Arteriovenous malformations (AVMs) of the brain consist in a network of dilated vessels that form an abnormal communication between the arterial and venous system. The clinical presentation of AVM could be with acute haemorrhagic stroke, due to their rupture or with seizures or recurrent headache. We present the case of 12 year old male child who was admitted in our clinic for "migraine with visual aura"-like episodes with visual positive phenomena. On cerebral MRI (T1, contrast enhancement) we found a right occipital arterio-venous malformation of 2-3 cm in diameter. The patient was referred to gamma knife stereotactic radiosurgery treatment.

摘要

脑动静脉畸形(AVM)由扩张的血管网络组成,这些血管在动脉和静脉系统之间形成异常交通。AVM的临床表现可能为急性出血性中风(由于其破裂)、癫痫发作或反复头痛。我们报告一例12岁男性儿童,因出现类似“伴有视觉先兆的偏头痛”发作及视觉阳性现象而入住我院。在脑部MRI(T1加权像,增强扫描)上,我们发现一个直径为2 - 3厘米的右枕叶动静脉畸形。该患者被转诊接受伽玛刀立体定向放射外科治疗。

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Dramatic Effect of Botox Injection in Disabling Chronic Migraine Secondary to Inoperable Cerebral Arteriovenous Malformation.肉毒杆菌毒素注射对因无法手术的脑动静脉畸形继发的慢性偏头痛致残的显著疗效。
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本文引用的文献

1
Cerebral Arteriovenous Malformations and Epilepsy, Part 1: Predictors of Seizure Presentation.脑动静脉畸形与癫痫,第1部分:癫痫发作表现的预测因素
World Neurosurg. 2015 Sep;84(3):645-52. doi: 10.1016/j.wneu.2015.02.039. Epub 2015 Mar 6.
2
The International Classification of Headache Disorders, 3rd edition (beta version).《国际头痛疾病分类》第三版(试用版)
Cephalalgia. 2013 Jul;33(9):629-808. doi: 10.1177/0333102413485658.
3
Occipital arteriovenous malformations and migraine.枕部动静脉畸形与偏头痛。
Cephalalgia. 2011 Sep;31(12):1320-4. doi: 10.1177/0333102411417465. Epub 2011 Aug 3.
4
Further observations on the spreading depression of activity in the cerebral cortex.关于大脑皮层活动扩散性抑制的进一步观察
J Neurophysiol. 1947 Nov;10(6):409-14. doi: 10.1152/jn.1947.10.6.409.
5
Gamma knife radiosurgery for arteriovenous malformations located in eloquent regions of the brain.伽玛刀放射外科治疗位于大脑功能区的动静脉畸形。
Neurol India. 2009 Sep-Oct;57(5):617-21. doi: 10.4103/0028-3886.57818.
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Anatomical variations in the circle of Willis and migraine susceptibility: is there an association?Willis 环的解剖变异与偏头痛易感性:存在关联吗?
Headache. 2010 Jan;50(1):151-2. doi: 10.1111/j.1526-4610.2009.01559.x. Epub 2009 Oct 21.
7
Lamotrigine reduces migraine aura and migraine attacks in patients with migraine with aura.拉莫三嗪可减少伴先兆偏头痛患者的偏头痛先兆和偏头痛发作。
J Neurol Neurosurg Psychiatry. 2005 Dec;76(12):1730-2. doi: 10.1136/jnnp.2005.063750.