蚓部动静脉畸形栓塞术后的小脑缄默症
Cerebellar mutism after embolization of vermian arteriovenous malformation.
作者信息
Demartini Zeferino, Schmitz Fernando, Chula Ana Caroline Dariva, Ribas Leandro M, Koppe Gelson Luis, Gatto Luana A M
机构信息
Department of Neurosurgery, Hospital de Clinicas - UFPR, and Hospital Pequeno Principe, Rua General Carneiro 181, 8° Andar, Curitiba, PR, Brazil.
Department of Neurosurgery, Cajuru University Hospital, Department of Neurosurgery, Pontifical University Catholic of Parana - PUCPR, Curitiba, PR, Brazil.
出版信息
Childs Nerv Syst. 2020 Jun;36(6):1301-1305. doi: 10.1007/s00381-019-04483-8. Epub 2020 Jan 2.
BACKGROUND
Cerebellar mutism is usually associated with posterior fossa tumor surgery.
CASE REPORT
We report a case of a 17-year-old female, presented with headache and tremor after hemorrhage from a vermian arteriovenous malformation. She was successfully treated by embolization; however, on immediate postoperative, she developed persistent mutism. To the best authors' knowledge, this is the first case of cerebellar mutism after endovascular treatment reported in the medical literature.
CONCLUSION
The endovascular approach may have the same potential of complication of conventional surgery; therefore, more study is necessary to clarify the role and limits of this technique to treat cerebellar arteriovenous malformation.
背景
小脑缄默症通常与后颅窝肿瘤手术相关。
病例报告
我们报告一例17岁女性，在小脑蚓部动静脉畸形出血后出现头痛和震颤。她通过栓塞治疗成功治愈；然而，术后即刻，她出现了持续性缄默症。据作者所知，这是医学文献中报道的首例血管内治疗后发生小脑缄默症的病例。
结论
血管内治疗方法可能具有与传统手术相同的并发症风险；因此，需要更多研究来阐明该技术在治疗小脑动静脉畸形中的作用和局限性。
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