Rohr J, Gauthier G
Schweiz Med Wochenschr. 1986 May 3;116(18):598-603.
A series of 12 patients with angiographically proven arteriovenous fistula of the dura mater are reported. This condition is more common than might be supposed and should be considered whenever a patient complains of pulsatile tinnitus accompanied by an auscultatory bruit. Doppler sonography is the noninvasive method of choice in arriving at a precise diagnosis and guiding neurological and radiological investigations towards selective angiography of the external carotid artery, the only technique which will reveal the origin of the pedicles. Doppler sonography is also very useful in monitoring the course of the untreated disease and its postoperative course. Although these fistulae may remain asymptomatic for a long time, depending upon their drainage and localization, they may give rise to serious complications, in particular haemorrhage, which render in general surgical treatment desirable. With regard to pathogenesis, the fistulae may be congenital, but are most frequently acquired.
本文报告了12例经血管造影证实的硬脑膜动静脉瘘患者。这种疾病比预想的更为常见，每当患者主诉搏动性耳鸣并伴有听诊性杂音时，都应考虑此病。多普勒超声检查是精确诊断并指导神经科和放射科检查以进行颈外动脉选择性血管造影的无创性首选方法，颈外动脉选择性血管造影是唯一能显示瘘蒂起源的技术。多普勒超声检查在监测未经治疗疾病的病程及其术后病程方面也非常有用。尽管这些瘘可能长期无症状，但根据其引流情况和部位，它们可能会引起严重并发症，尤其是出血，这使得一般手术治疗成为必要。关于发病机制，瘘可能是先天性的，但最常见的是后天获得性的。
