Piske R L, Lasjaunias P
Unité de Neuroradiologie Vasculaire, Hôpital de Bicêtre-Université, Paris, France.
Neuroradiology. 1988;30(5):426-32. doi: 10.1007/BF00404108.
Of 60 cases of dural arteriovenous malformations (DAVM) explored and treated in the Vascular Neuroradiology Unit of the Hospital of Bicêtre between 1980 and 1986, 3 presented in an extrasinusal location: intraorbital, middle cerebral fossa and the region of the superior orbital fissure. We have not found any prior description of DAVMs in these regions in the literature. The classic concept that DAVMs arise in direct relationship with the dural sinuses is limited. We believe that these lesions may also develop in relationship with the venous drainage system of the sinuses and the venous drainage of the peripheral nervous system. We note that the superior ophthalmic vein which drains DAVMs of the orbit and the olfactory vein which drains DAVMs of the anterior cranial fossa and other veins that accompany the cranial nerves through the skull base have the characteristics of emissary veins. It may be that DAVMs can develop wherever veins follow a transosseous trajectory.
1980年至1986年间，在比塞特尔医院血管神经放射科接受检查和治疗的60例硬脑膜动静脉畸形（DAVM）中，有3例位于鼻窦外：眶内、大脑中窝和眶上裂区域。我们在文献中未发现此前有关于这些区域DAVM的描述。DAVM与硬脑膜窦直接相关的经典概念是有限的。我们认为，这些病变也可能与鼻窦的静脉引流系统以及周围神经系统的静脉引流有关。我们注意到，引流眼眶DAVM的眼上静脉、引流前颅窝DAVM的嗅静脉以及其他伴随颅神经穿过颅底的静脉具有导静脉的特征。DAVM可能在静脉走行于经骨轨迹的任何部位发生。
