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儿童硬脑膜动静脉瘘的罕见病例:多模态影像学检查及文献综述

Rare occurrence of dural arteriovenous fistula in a child: Multi-modality imaging and literature review.

作者信息

Yadav Varun, Bhatt Shuchi, Dangwal Saumya

机构信息

Department of Radiodiagnosis, University College of Medical Sciences and GTB Hospital, Dilshad Garden, Delhi-110095, INDIA.

University College of Medical Sciences and GTB Hospital, Dilshad Garden, Delhi-110095, INDIA.

出版信息

Radiol Case Rep. 2021 Jan 30;16(4):879-883. doi: 10.1016/j.radcr.2021.01.031. eCollection 2021 Apr.

Abstract

A dural arteriovenous fistula (AVF) is a rare condition in a child and is not evident clinically. It is a type of an acquired cerebral vascular malformation that usually occurs after a thrombotic event of the cerebral venous sinuses. Dural AVF is not suspected clinically and is revealed through imaging done for evaluation of cranial symptoms. Therefore, it is essential to revisit the pathophysiology and the clinical situations leading to intracranial dural AVF. Equally crucial is identifying the imaging findings on computed tomography, or magnetic resonance imaging brain scans done as a preliminary work-up in these patients. However, for optimal management decision and prognostication of dural AVF, a digital subtraction angiography is essential. As the entire burden of establishing the diagnosis rests on the radiologists, we would like to present this rare case report highlighting both the clinical and imaging aspects and the management options available for dural AVFs.

摘要

硬脑膜动静脉瘘(AVF)在儿童中是一种罕见疾病,临床上并不明显。它是一种后天性脑血管畸形,通常发生在脑静脉窦血栓形成事件之后。硬脑膜AVF在临床上不易被怀疑,而是通过为评估颅脑症状而进行的影像学检查发现的。因此,重新审视导致颅内硬脑膜AVF的病理生理学和临床情况至关重要。同样关键的是识别在这些患者初步检查时进行的计算机断层扫描或磁共振成像脑部扫描上的影像学表现。然而,为了对硬脑膜AVF做出最佳管理决策和进行预后评估,数字减影血管造影是必不可少的。由于确立诊断的全部责任在于放射科医生,我们特此呈现这一罕见病例报告,突出硬脑膜AVF的临床和影像学方面以及可用的管理方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d485/7850937/a49ace3ba8a3/gr1.jpg

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