继发于硬脑膜动静脉瘘的孤立于大脑导水管的原发性脑室内出血。
Primary Intraventricular Hemorrhage Isolated in Cerebral Aqueduct Secondary to Dural Arteriovenous Fistula.
作者信息
Nagarajan Elanagan, Premkumar Keerthivaas, Patel Priyadarshee, Qureshi Adnan I, Nattanmai Premkumar C
机构信息
Department of Neurology, University of Missouri, Columbia, MO, USA.
出版信息
J Vasc Interv Neurol. 2018 Nov;10(2):59-61.
OBJECTIVE
We report a case of dural arteriovenous fistula (dAVF) presenting as isolated cerebral aqueduct hemorrhage.
RESULT
A 73-year-old man with a history of hypertension and chronic alcoholism presented with altered mental status and gait difficulties, bilateral fronto-occipital headaches, and intermittent dizziness. He had bilateral upward gaze restriction. Computerized tomography scan showed hyperdensity in the cerebral aqueduct and dilation of the lateral and third ventricles. The diagnostic angiogram demonstrated dAVF with arterial feeders from the cavernous segment of the left internal carotid artery and venous drainage into left transverse and sigmoid venous sinus.
CONCLUSION
Underlying dAVF should be considered in patients with isolated cerebral aqueduct hemorrhage.
目的
我们报告一例表现为孤立性脑导水管出血的硬脑膜动静脉瘘（dAVF）病例。
结果
一名有高血压和慢性酒精中毒病史的73岁男性，出现精神状态改变、步态困难、双侧额枕部头痛和间歇性头晕。他有双侧向上凝视受限。计算机断层扫描显示脑导水管高密度影以及侧脑室和第三脑室扩张。诊断性血管造影显示dAVF，动脉供血来自左颈内动脉海绵窦段，静脉引流至左横窦和乙状窦。
结论
孤立性脑导水管出血的患者应考虑潜在的dAVF。
Zotero 插件