静脉窦支架置入术后硬脑膜动静脉瘘形成合并脑静脉窦狭窄
Dural Arteriovenous Fistula Formation Complicated Cerebral Venous Sinus Stenosis After Venous Sinus Stenting.
作者信息
Li Ke, Ren Ming, Meng Ran, Wang Feng, Ji Xunming
机构信息
Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China; Department of Interventional Radiology, The First Affiliated Hospital of Dalian Medical University, Liaoning Sheng, China.
Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
出版信息
World Neurosurg. 2018 Dec;120:400-402. doi: 10.1016/j.wneu.2018.08.230. Epub 2018 Sep 8.
BACKGROUND
Venous stenting has become a promising treatment for venous sinus stenosis. However, it is not without its own set of risks.
CASE DESCRIPTION
We reported de novo formation of dural arteriovenous fistula poststenting for venous sinus stenosis in a patient with pseudotumor cerebri. Multiple factors, including subclinical thrombus formation, sinus wall injury by stent placement, and up-regulated inflammatory factors, may contribute to its pathogenesis.
CONCLUSIONS
This case indicates that physicians may need to be aware of this rare complication, which can be managed without resumption of pseudotumor cerebri symptoms.
背景
静脉支架置入术已成为治疗静脉窦狭窄的一种有前景的方法。然而，它并非没有自身的一系列风险。
病例描述
我们报告了1例假性脑瘤患者在静脉窦狭窄支架置入术后发生硬脑膜动静脉瘘的新生情况。包括亚临床血栓形成、支架置入对窦壁的损伤以及炎症因子上调等多种因素可能导致其发病机制。
结论
该病例表明医生可能需要意识到这种罕见的并发症，其可以在不恢复假性脑瘤症状的情况下得到处理。
Zotero 插件