伴有钙化结节的脊髓动静脉畸形：病例说明
Spinal arteriovenous malformation with a calcified nodule: illustrative case.
作者信息
Liu Ping-Chuan, Huang Chung-Chia, Chen Ching-Lin
机构信息
1Department of Neurosurgery, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan.
2Medical Education Department, Far Eastern Memorial Hospital, Taipei, Taiwan.
出版信息
J Neurosurg Case Lessons. 2023 Sep 25;6(13). doi: 10.3171/CASE23260.
BACKGROUND
This article describes a rare case of cervical spinal arteriovenous malformation (AVM) mimicking a neurogenic spinal tumor.
OBSERVATIONS
A 22-year-old female presenting with a C6-7 AVM with a calcification nodule experienced new-onset acute right upper radiculopathy associated with extradural compression of the spinal cord. Note that spinal AVMs with a calcified nodule are rare. Endovascular embolization is generally used to relieve the symptoms of AVM; however, this procedure cannot relieve cord compression, particularly in cases complicated by calcified nodules. This article discusses treatment options.
LESSONS
Decompression surgery is preferable to endovascular embolization because it alleviates symptoms while preventing cord compression and minimizing the risk of recurrence.
背景
本文描述了一例罕见的模仿神经源性脊柱肿瘤的颈段脊髓动静脉畸形（AVM）。
观察结果
一名22岁女性患有C6 - 7节段的AVM并伴有钙化结节，出现了与脊髓硬膜外压迫相关的新发急性右上神经根病。注意，伴有钙化结节的脊髓AVM很罕见。血管内栓塞术通常用于缓解AVM的症状；然而，该手术无法缓解脊髓压迫，尤其是在合并钙化结节的病例中。本文讨论了治疗方案。
经验教训
减压手术优于血管内栓塞术，因为它能缓解症状，同时防止脊髓压迫并将复发风险降至最低。
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