Miyamoto S, Kikuchi H, Nagata I, Yamagata S, Mitsuno K, Yamazoe N, Akiyama Y, Karasawa J, Shishido H, Naruo Y
Department of Neurosurgery Kyoto University Medical School.
No Shinkei Geka. 1988 Aug;16(9):1067-72.
Six cases with spinal arteriovenous malformation refractory to repetitive embolization therapy were reported. In these, de novo feeding arteries appeared after the emboli obliterated the proximal portion of the blood feeding system. Though the malformation disappeared after the embolization therapy in the angiograms of the original feeding arteries, the lesion was visualized in the follow-up angiogram from different segmental arteries via various collaterals. Through angiographic evaluation and magnetic resonance imaging were necessary to point out the "false angiographic disappearance" of the spinal arteriovenous malformation after the embolization therapy.
报告了6例经反复栓塞治疗仍难治的脊髓动静脉畸形病例。在这些病例中,栓塞剂闭塞供血系统近端部分后出现了新生供血动脉。尽管在原始供血动脉的血管造影中栓塞治疗后畸形消失,但在随访血管造影中通过各种侧支从不同节段动脉可见病变。血管造影评估和磁共振成像对于指出栓塞治疗后脊髓动静脉畸形的“假血管造影消失”是必要的。