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脑血管畸形及其影像学检查方法。

Cerebral vascular malformations and their imaging modalities.

作者信息

Zafar Atif, Fiani Brian, Hadi Hamid, Arshad Mohammad, Cathel Alessandra, Naeem Muhammad, Parsons Matthew S, Farooqui Mudassir, Bucklin Abigail A, Leone Michael J, Baig Aqsa, Quadri Syed A

机构信息

Department of Neurology, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.

Department of Neurosurgery, Desert Regional Medical Center, Palm Springs, CA, USA.

出版信息

Neurol Sci. 2020 Sep;41(9):2407-2421. doi: 10.1007/s10072-020-04415-4. Epub 2020 Apr 25.

Abstract

Cerebrovascular malformations are uncommon diverse group of dysmorphic vascular communications that may occur sporadically or as part of genetic syndromes. These include non-neoplastic lesions such as arteriovenous malformations (AVM), cavernous malformations (CM), developmental venous anomalies (DVA), and telangiectasias as well as others like arteriovenous fistulas (AVF), vein of Galen malformations (VOGM), and mixed or unclassified angiomas. These lesions often carry a high degree of morbidity and mortality often requiring surgical or endovascular interventions. The field of cerebrovascular anomalies has seen considerable advancement in the last few years. Treatment and management options of various types of brain anomalies have evolved in neurological, neurosurgical, and neuro-interventional radiology arena. The use of radiological imaging studies is a critical element for treatment of such neurosurgical cases. As imaging modalities continue to evolve at a rapid pace, it is imperative for neurological surgeons to be familiar with current imaging modalities essential for a precise diagnosis. Better understanding of these cerebrovascular lesions along with their associated imaging findings assists in determining the appropriate treatment options. In the current review, authors highlight various cerebrovascular malformations and their current imaging modalities.

摘要

脑血管畸形是一组不常见的、多样的畸形血管交通,可散发出现或作为遗传综合征的一部分出现。这些包括非肿瘤性病变,如动静脉畸形(AVM)、海绵状畸形(CM)、发育性静脉异常(DVA)和毛细血管扩张症,以及其他如动静脉瘘(AVF)、大脑大静脉畸形(VOGM)和混合型或未分类的血管瘤。这些病变通常具有高度的发病率和死亡率,常常需要手术或血管内介入治疗。在过去几年中,脑血管异常领域取得了相当大的进展。各类脑异常的治疗和管理方案在神经科、神经外科和神经介入放射学领域不断发展。放射影像学检查的应用是此类神经外科病例治疗的关键要素。随着成像方式继续快速发展,神经外科医生必须熟悉对精确诊断至关重要的当前成像方式。更好地了解这些脑血管病变及其相关的影像学表现有助于确定合适的治疗方案。在当前综述中,作者重点介绍了各种脑血管畸形及其当前的成像方式。

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