Endo Toshiki, Tominaga Teiji
Department of Neurosurgery, Tohoku University.
No Shinkei Geka. 2021 May;49(3):665-676. doi: 10.11477/mf.1436204441.
In this paper, we outlined the diagnostic and treatment strategies for spinal arteriovenous malformations, focusing on dural and perimedullary arteriovenous fistula(AVF). In many patients with spinal arteriovenous malformations, the symptoms are non-specific. Therefore, we consider it is critical to detect the signal flow voids in the enlarged spinal veins using MRI. An accurate understanding of the vascular structures is indispensable for deciding appropriate treatment strategies. Hence, performing an angiography is essential. Regarding treatment, whether to select surgical or endovascular treatment for AVF depends largely on the institution's protocols. However, the treatment should always be based on an accurate diagnosis.
在本文中，我们概述了脊柱动静脉畸形的诊断和治疗策略，重点关注硬脊膜和髓周动静脉瘘（AVF）。在许多脊柱动静脉畸形患者中，症状是非特异性的。因此，我们认为利用磁共振成像（MRI）检测扩大的脊髓静脉中的血流信号空洞至关重要。准确了解血管结构对于确定合适的治疗策略必不可少。因此，进行血管造影是至关重要的。关于治疗，对于AVF选择手术治疗还是血管内治疗在很大程度上取决于机构的方案。然而，治疗始终应基于准确的诊断。
