一名出现轻微结膜充血的儿童硬脑膜动静脉瘘的血管内栓塞治疗。
Endovascular embolization of dural arteriovenous fistula in a child presented with slight conjunctival hyperemia.
作者信息
Guo Lei, Liu Ting, Lv Xianli
机构信息
Department of Vascular Anomalies and Interventional Radiology, QILU Children's Hospital of Shandong University, Jinan, Shandong, China.
Neurosurgical Department, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Litang Road 168, Changping, Beijing, 102218, China.
出版信息
Childs Nerv Syst. 2019 Dec;35(12):2435-2437. doi: 10.1007/s00381-019-04397-5. Epub 2019 Oct 29.
BACKGROUND
Dural arteriovenous fistulas (DAVFs) are rare in pediatrics. A case of DAVF diagnosed because of a slight conjunctival hyperemia and endovascular coil embolization at 2 years old is reported.
CASE DESCRIPTION
The 2-year-old boy presented with a slight conjunctival hyperemia of the left eye for 1 month. Magnetic resonance imaging (MRI) examination of the head showed abnormal blood flow in the left middle cranial fossa. On digital subtraction angiography, a DAVF with a dural feeder shunt and a venous varix at the middle cranial fossa was confirmed. After transarterial coil embolization, shunt blood flow disappeared.
CONCLUSIONS
This report describes a case of DAVF with a slight conjunctival hyperemia treated by coil embolization in a child.
背景
硬脑膜动静脉瘘（DAVF）在儿科中较为罕见。本文报道了一例因轻度结膜充血而被诊断出的DAVF病例，并在患儿2岁时进行了血管内弹簧圈栓塞治疗。
病例描述
一名2岁男孩左眼轻度结膜充血1个月。头部磁共振成像（MRI）检查显示左侧中颅窝血流异常。数字减影血管造影证实中颅窝存在伴有硬脑膜供血分流和静脉瘤样扩张的DAVF。经动脉弹簧圈栓塞后，分流血流消失。
结论
本报告描述了一例通过弹簧圈栓塞治疗的伴有轻度结膜充血的儿童DAVF病例。
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