脊髓硬脊膜动静脉瘘与来自同一节段动脉的脊髓前动脉供血：容积T2磁共振成像诊断及合理血管内治疗的病例报告
Spinal dural fistula and anterior spinal artery supply from the same segmental artery: Case report of volumetric T2 MRI diagnosis and rational endovascular treatment.
作者信息
Shapiro Maksim, Kister Ilya, Raz Eytan, Loh John, Young Matthew, Goldman-Yassen Adam, Chancellor Breehan, Nelson Peter Kim
机构信息
Neurointerventional Radiology Section, NYU School of Medicine, New York, USA.
Department of Neurology, NYU School of Medicine, New York, USA.
出版信息
Interv Neuroradiol. 2019 Oct;25(5):579-584. doi: 10.1177/1591019918825017. Epub 2019 May 9.
Abstract
Spinal dural fistulas (SDAVFs) occasionally arise from the same segmental artery as the radiculomedullary branch to the anterior spinal artery. In such cases, selective fistula embolization that does not endanger the anterior spinal artery is not possible, and surgical fistula disconnection is recommended. We present an exceptional case in which rational embolization strategy of SDAVF was feasible because of separate origins from a common segmental artery pedicle of the ventral radiculomedullary artery and the dorsal radicular artery branch supplying the fistula.
摘要
脊髓硬脊膜动静脉瘘（SDAVFs）偶尔起源于与脊髓前动脉的神经根髓动脉分支相同的节段动脉。在这种情况下，不可能进行不危及脊髓前动脉的选择性瘘管栓塞，因此建议进行手术切断瘘管。我们报告了一个特殊病例，由于供应瘘管的腹侧神经根髓动脉和背侧神经根动脉分支起源于一个共同的节段动脉蒂，对SDAVF进行合理的栓塞策略是可行的。
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