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联合通路:解析发育性静脉异常与动静脉畸形并存的情况

Conjoined Pathways: Unraveling the Coexistence of Developmental Venous Anomaly With Arteriovenous Malformation.

作者信息

Navlani Sahil, Mestha Akshata, Mukherjee Amritendu, Saadat Abdelmuhdi Ahmad, Sibaie Ayman A

机构信息

Medicine and Surgery, Dubai Academic Health Corporation, Dubai, ARE.

Radiology, Rashid Hospital, Dubai, ARE.

出版信息

Cureus. 2023 Aug 29;15(8):e44350. doi: 10.7759/cureus.44350. eCollection 2023 Aug.

DOI:10.7759/cureus.44350
PMID:37779756
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10539624/
Abstract

Developmental venous anomalies (DVAs) are intracranial vascular malformations typically characterized by their benign nature, often obviating the need for radiological follow-up. These anomalies arise from variations in the standard drainage pattern. While previously deemed congenital, there has been ongoing debate about a developmental component contributing to their etiology. They frequently coexist with other cerebral venous malformations (CVM); however, their association with arteriovenous malformations (AVM) is exceedingly rare. Such mixed malformations pose a therapeutic challenge, necessitating meticulous consideration for appropriate treatment. We present a noteworthy case involving a patient with arteriovenous malformation along with dual developmental venous anomalies, one of which served as the draining vein for the AVM.

摘要

发育性静脉异常(DVAs)是颅内血管畸形,其典型特征为良性,通常无需进行影像学随访。这些异常源于标准引流模式的变异。虽然以前认为是先天性的,但关于发育因素在其病因学中的作用一直存在争议。它们常与其他脑静脉畸形(CVM)共存;然而,它们与动静脉畸形(AVM)的关联极为罕见。这种混合畸形带来了治疗挑战,需要仔细考虑合适的治疗方法。我们报告一例值得关注的病例,该患者患有动静脉畸形以及双重发育性静脉异常,其中一个发育性静脉异常作为动静脉畸形的引流静脉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73c9/10539624/76e1d65ee810/cureus-0015-00000044350-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73c9/10539624/86098353685e/cureus-0015-00000044350-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73c9/10539624/8846882454a3/cureus-0015-00000044350-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73c9/10539624/e6c214c132d9/cureus-0015-00000044350-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73c9/10539624/76e1d65ee810/cureus-0015-00000044350-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73c9/10539624/86098353685e/cureus-0015-00000044350-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73c9/10539624/8846882454a3/cureus-0015-00000044350-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73c9/10539624/e6c214c132d9/cureus-0015-00000044350-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73c9/10539624/76e1d65ee810/cureus-0015-00000044350-i04.jpg

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Conjoined Pathways: Unraveling the Coexistence of Developmental Venous Anomaly With Arteriovenous Malformation.联合通路:解析发育性静脉异常与动静脉畸形并存的情况
Cureus. 2023 Aug 29;15(8):e44350. doi: 10.7759/cureus.44350. eCollection 2023 Aug.
2
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本文引用的文献

1
Arteriovenous malformation drained into a developmental venous anomaly: A case report and up-dated literature review.动静脉畸形引流至发育性静脉异常:病例报告及文献复习。
Neurochirurgie. 2020 Dec;66(6):471-476. doi: 10.1016/j.neuchi.2020.08.003. Epub 2020 Oct 10.
2
Evolution of Developmental Venous Anomalies in the Setting of a Torcular Dural Arteriovenous Fistula and Cerebrofacial Venous Metameric Syndrome.窦汇区硬脑膜动静脉瘘合并脑面静脉节段性综合征时发育性静脉异常的演变
World Neurosurg. 2020 Nov;143:46-50. doi: 10.1016/j.wneu.2020.06.035. Epub 2020 Jun 12.
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Developmental venous anomaly coexisting with a true arteriovenous malformation: a rare clinical entity.
伴行的动静脉畸形:一种罕见的临床实体。
J Neurointerv Surg. 2012 Jul;4(4):e19. doi: 10.1136/neurintsurg-2011-010016. Epub 2011 Jul 29.
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Pathomechanisms of symptomatic developmental venous anomalies.症状性发育性静脉异常的发病机制。
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Developmental venous anomaly (DVA) with arterial component: a rare cause of intracranial haemorrhage.伴有动脉成分的发育性静脉异常(DVA):颅内出血的罕见原因。
Neuroradiology. 2009 Jan;51(1):25-32. doi: 10.1007/s00234-008-0456-9. Epub 2008 Sep 12.
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Venous-predominant parenchymal arteriovenous malformation: a rare subtype with a venous drainage pattern mimicking developmental venous anomaly.静脉为主型实质动静脉畸形:一种罕见的亚型,其静脉引流模式类似发育性静脉异常。
J Neurosurg. 2008 Jun;108(6):1142-7. doi: 10.3171/JNS/2008/108/6/1142.
7
A rare combination of a developmental venous anomaly with a varix. Case report.发育性静脉异常合并静脉曲张的罕见组合。病例报告。
J Neurosurg Pediatr. 2008 Feb;1(2):156-9. doi: 10.3171/PED/2008/1/2/156.
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Complex developmental venous anomaly of the brain.脑复杂发育性静脉异常
Acta Neurochir (Wien). 2002 May;144(5):501-4. doi: 10.1007/s007010200073.
9
Association of intracerebral venous angioma and true arteriovenous malformation: a rare, distinct entity.脑内静脉血管瘤与真性动静脉畸形的关联:一种罕见的独特实体。
Neuroradiology. 2000 Jun;42(6):455-7. doi: 10.1007/s002340000307.
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Diagnostic imaging of angiographically occult vascular malformations.血管造影隐匿性血管畸形的诊断成像
Neurosurg Clin N Am. 1999 Jul;10(3):419-32.