Cox Travis M, Chavez Andia Daniel M, Aisenberg Gabriel
Internal Medicine, University of Texas John P. and Kathrine G. McGovern School of Medicine, Houston, USA.
Internal Medicine, St. Luke's Hospital, St. Louis, USA.
Cureus. 2020 Mar 7;12(3):e7200. doi: 10.7759/cureus.7200.
Arteriovenous malformations (AVM) of the cervical spine can present with symptoms resulting from their mass effect, vascular steal, or subarachnoid hemorrhage (SAH). While ruptured cerebral aneurysms bleed fast and usually cause severe headache, AVM bleed slowly; moreover, when the location is extracranial, the presentation might be even more confusing. For these reasons, the clinical course can be misleading. We present the case of a woman who had bleeding from an AVM of the cervical spine and discuss the classification and treatment options of AVM.
颈椎动静脉畸形（AVM）可因其占位效应、盗血或蛛网膜下腔出血（SAH）而出现症状。虽然破裂的脑动脉瘤出血迅速，通常会引起严重头痛，但AVM出血缓慢；此外，当病变位于颅外时，表现可能更令人困惑。由于这些原因，临床病程可能会产生误导。我们报告一例颈椎AVM出血的女性病例，并讨论AVM的分类和治疗选择。
