伴有腹侧硬膜内静脉引流的I型脊髓动静脉瘘：一种改良分类法的提议
Type I Spinal Arteriovenous Fistula with Ventral Intradural Venous Drainage: A Proposal of a Modified Classification.
作者信息
Adeeb Nimer, Moore Justin M, Alturki Abdulrahman Y, Bulsara Ketan R, Griessenauer Christoph J, Patel Apar S, Gupta Raghav, Tubbs R Shane, Ogilvy Christopher S, Thomas Ajith J
机构信息
Department of Neurosurgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Department of Neurosurgery, King Fahad Medical City, National Neurosciences Institute, Riyadh, Saudi Arabia.
出版信息
Asian J Neurosurg. 2018 Oct-Dec;13(4):1048-1052. doi: 10.4103/ajns.AJNS_100_17.
OBJECTIVES
Spinal arteriovenous fistula (AVF) is the most common spinal vascular lesion and constitutes an abnormal communication between a feeder artery and a draining vein. Arterialization of the venous plexus leads to venous hypertension; consequent edema and congestion of the spinal cord are associated with progressive neurological decline.
PATIENTS AND METHODS
In this report, we describe two unique cases of type I cervical spinal AVF, in which a radiculomeningeal artery forms an intradural fistula that drains into the ventral venous plexus.
RESULTS
Both patients underwent surgical obliteration of the fistula with complete occlusion confirmed on postoperative angiography.
CONCLUSION
Both cases do not fit into the current classification scheme. A modified classification is proposed.
目的
脊髓动静脉瘘（AVF）是最常见的脊髓血管病变，是供血动脉与引流静脉之间的异常交通。静脉丛动脉化导致静脉高压；随之而来的脊髓水肿和充血与进行性神经功能衰退相关。
患者与方法
在本报告中，我们描述了两例I型颈段脊髓AVF的独特病例，其中神经根脑膜动脉形成硬膜内瘘并引流至腹侧静脉丛。
结果
两名患者均接受了瘘管手术闭塞，术后血管造影证实完全闭塞。
结论
这两例均不符合当前的分类方案。提出了一种改良分类法。
Zotero 插件