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硬脑膜静脉畸形血管内栓塞后出现双侧硬脑膜下血肿。

Development of bilateral subdural hematoma after endovascular embolization of a dural sinus malformation.

机构信息

School of Medicine& School of Clinical Medicine, Tsinghua University, Beijing, China.

Neurosurgery Department, Liaocheng People's Hospital, Liaocheng Clinical School of Taishan Medical University, Liaocheng, Shandong, China.

出版信息

Childs Nerv Syst. 2022 Jan;38(1):211-215. doi: 10.1007/s00381-021-05161-4. Epub 2021 Apr 14.

Abstract

INTRODUCTION

Dural sinus malformation is a rare congenital malformation characterized by a remarkable dilated dural sinus pouch. We described the development of bilateral subdural hematoma after endovascular embolization of a dural sinus malformation in an infant.

CASE DESCRIPTION

A 32-day male infant was observed to have a fever and enlarged head circumference. A dural sinus malformation with giant dural sinus pouch thrombosis was established by magnetic resonance imaging and digital subtraction angiography. The patient developed bilateral subdural hematoma after endovascular embolization of the dural fistula. His neurological outcome was normal at 3-year follow-up.

CONCLUSION

We report a case of development of bilateral subdural hematoma after endovascular embolization of a dural sinus malformation and had a normal neurological outcome.

摘要

介绍

硬脑膜窦畸形是一种罕见的先天性畸形,其特征是硬脑膜窦显著扩张形成窦袋。我们描述了一例婴儿硬脑膜窦畸形血管内栓塞后并发双侧硬脑膜下血肿的病例。

病例描述

一名 32 天大的男性婴儿出现发热和头围增大。磁共振成像和数字减影血管造影显示存在硬脑膜窦畸形伴巨大硬脑膜窦囊血栓形成。动静脉瘘血管内栓塞后,患儿出现双侧硬脑膜下血肿。3 年随访时,患儿的神经功能正常。

结论

我们报告了一例硬脑膜窦畸形血管内栓塞后并发双侧硬脑膜下血肿的病例,患儿的神经功能正常。

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