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酷似颞动脉炎的硬脑膜动静脉瘘

Dural arteriovenous fistula mimicking temporal arteritis.

作者信息

Naserrudin Nadia Syafeera, Mohammad Raffiq Mohammed Azman

机构信息

Neurosurgical Rotation, Department of Neurosurgery, Kuala Lumpur Hospital, Malaysia; Department of Otorhinolaryngology, Serdang Hospital, Malaysia.

Department of Neurosurgery, Kuala Lumpur Hospital, Malaysia.

出版信息

Clin Neurol Neurosurg. 2019 Jan;176:44-46. doi: 10.1016/j.clineuro.2018.11.021. Epub 2018 Nov 26.

Abstract

INTRODUCTION

Dural arteriovenous fistula (dAVF) is a very rare disease characterized by an abnormal vascular communication between arteries and veins in dural mater. It frequently presents with intracranial haemorrhage. Common presenting symptoms are headache and seizures.

CASE REPORT

Here we report a case of dAVF in which the patient's symptoms mimic a temporal arteritis in a 23-year-old woman. She presented with painful mass at forehead for 9 months with frontotemporal headache. Magnetic resonance imaging demonstrated dural arteriovenous fistula.

CONCLUSION

Since both diseases have different prognosis but similar presentation, it is important to ensure that there is no dural arteriovenous fistula in patient with suspected temporal arteritis.

摘要

引言

硬脑膜动静脉瘘(dAVF)是一种非常罕见的疾病,其特征是硬脑膜中动脉与静脉之间存在异常的血管沟通。它常表现为颅内出血。常见的症状是头痛和癫痫发作。

病例报告

在此,我们报告一例硬脑膜动静脉瘘病例,该病例为一名23岁女性,其症状类似于颞动脉炎。她前额出现疼痛性肿块9个月,伴有额颞部头痛。磁共振成像显示为硬脑膜动静脉瘘。

结论

由于这两种疾病预后不同但表现相似,因此对于疑似颞动脉炎的患者,确保不存在硬脑膜动静脉瘘非常重要。

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