Okada T, Matsuda M, Handa J
Department of Neurosurgery, Shiga University of Medical Science, Japan.
No Shinkei Geka. 1988 Jun;16(7):903-6.
A case of dural arteriovenous malformation (AVM) in the base of the anterior cranial fossa associated with a ruptured anterior communicating aneurysm was reported in a 67-year-old man. The dural AVM was fed by the left anterior ethmoidal artery and drained by the left frontal ascending vein with a varicose dilatation. The aneurysm was clipped and the dural AVM was removed in two stages. Dural AVM in the base of the anterior cranial fossa is rare, and we could find only 17 previous reports. Two of them presented with exophthalmos, whereas the remaining 15 cases presented with an intracranial hemorrhage from rupture of the dural AVM. An association of an aneurysm with the dural AVM in this location has not been reported previously.
报道了一例67岁男性,其前颅窝底部硬脑膜动静脉畸形(AVM)合并前交通动脉瘤破裂。硬脑膜AVM由左筛前动脉供血,经左额叶升静脉引流,该静脉有曲张扩张。动脉瘤夹闭,硬脑膜AVM分两期切除。前颅窝底部硬脑膜AVM罕见,我们仅能找到17篇既往报道。其中2例出现眼球突出,其余15例因硬脑膜AVM破裂出现颅内出血。此前未见该部位硬脑膜AVM合并动脉瘤的报道。