海绵窦硬脑膜动静脉瘘并发海马静脉淤血：一例报告。
Cavernous sinus dural arteriovenous fistula complicated by hippocampus venous congestion: A case report.
机构信息
Department of Neurosurgery, Ningbo First Hospital, Ningbo Hospital, Zhejiang University School of Medicine, Ningbo, Zhejiang 315010, China.
Department of Neurosurgery, Ningbo First Hospital, Ningbo Hospital, Zhejiang University School of Medicine, Ningbo, Zhejiang 315010, China; Key Laboratory of Precision Medicine for Atherosclerotic Diseases of Zhejiang Province, Ningbo, Zhejiang 315010, China; Medical Research Center, Ningbo First Hospital, Ningbo Hospital, Zhejiang University School of Medicine, Ningbo, Zhejiang 315010, China.
出版信息
J Stroke Cerebrovasc Dis. 2022 Sep;31(9):106666. doi: 10.1016/j.jstrokecerebrovasdis.2022.106666. Epub 2022 Jul 27.
BACKGROUND
Hippocampal venous congestion is a rare complication associated with cavernous sinus dural arteriovenous fistulas (CS-DAVFs).
CASE DESCRIPTION
A 74-year-old woman was admitted to the hospital with a swollen left eye. Isolated lesions were found in the left hippocampus and the middle cerebellar peduncle. Cerebral angiography revealed retrograde venous drainage of the bilateral inferior petrosal sinuses from the left CS-DAVF. The patient underwent transcatheter arterial embolization, resulting in complete resolution of the hippocampal lesions and neurological symptoms.
CONCLUSION
Hippocampal injury is a rare complication of CS-DAVF. Attentive diagnosis and treatment can effectively prevent adverse consequences.
背景
海绵窦硬脑膜动静脉瘘（CS-DAVFs）可并发罕见的海马静脉淤血。
病例描述
一名 74 岁女性因左眼肿胀而入院。在左侧海马体和小脑中脚发现孤立性病变。脑血管造影显示双侧岩下窦从左侧 CS-DAVF 逆行静脉引流。患者接受了经导管动脉栓塞治疗，左侧海马病变和神经症状完全缓解。
结论
海马损伤是 CS-DAVF 的罕见并发症。及时诊断和治疗可以有效预防不良后果。
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