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一例罕见的以原发性脑室内出血为表现的硬脑膜动静脉瘘。

A rare case of dural arteriovenous fistula presenting as primary intraventricular hemorrhage.

作者信息

Srivastava Trilochan, Sannegowda Raghavendra Bakki, Sinha V D, Jain R S, Jain Rahul, Mathur Tarun

机构信息

Department of Neurology, SMS Medical College Hospital, Jaipur, Rajasthan, India.

Department of Neurosurgery, SMS Medical College Hospital, Jaipur, Rajasthan, India.

出版信息

Asian J Neurosurg. 2017 Apr-Jun;12(2):287-289. doi: 10.4103/1793-5482.146399.

DOI:10.4103/1793-5482.146399
PMID:28484554
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5409390/
Abstract

Primary intraventricular haemorrhage (PIVH) is rare. Dural arteriovenous fistula causing PIVH is extremely rare. We report a case of a 17 year old boy who presented with left hemiparesis, left lower motor neuron facial palsy and ataxia. His computed tomography head revealed primary intraventricular hemorrhage. Catheter super selective angiography revealed a dural arterio venous fistula with arterial feeder arising from the middle meningeal artery as well as from the inferior marginal tentorial artery. Glue injection led to successful disappearance of the fistula and eventual clinical recovery.

摘要

原发性脑室内出血(PIVH)较为罕见。由硬脑膜动静脉瘘导致的PIVH极为罕见。我们报告一例17岁男孩,他表现为左侧偏瘫、左侧下运动神经元性面瘫和共济失调。其头部计算机断层扫描显示为原发性脑室内出血。导管超选择性血管造影显示存在硬脑膜动静脉瘘,供血动脉源自脑膜中动脉以及小脑幕下边缘动脉。注射胶水使瘘管成功消失,患者最终临床康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40fa/5409390/13695c45a32c/AJNS-12-287-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40fa/5409390/c8906e6a6ddc/AJNS-12-287-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40fa/5409390/b8f23511e205/AJNS-12-287-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40fa/5409390/756b2f0ee2b0/AJNS-12-287-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40fa/5409390/13695c45a32c/AJNS-12-287-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40fa/5409390/c8906e6a6ddc/AJNS-12-287-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40fa/5409390/b8f23511e205/AJNS-12-287-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40fa/5409390/756b2f0ee2b0/AJNS-12-287-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40fa/5409390/13695c45a32c/AJNS-12-287-g004.jpg

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Isolated intraventricular hemorrhage secondary to dural arteriovenous fistula.硬脑膜动静脉瘘继发孤立性脑室内出血。
BMJ Case Rep. 2018 Feb 7;2018:bcr-2017-013643. doi: 10.1136/bcr-2017-013643.

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