Department of Neurosurgery, PLA Strategic Support Force Characteristic Medical Center, Beijing, 100101, China.
Department of Spine Surgery, PLA Strategic Support Force Characteristic Medical Center, Beijing, 100101, China.
J Med Case Rep. 2023 Oct 24;17(1):467. doi: 10.1186/s13256-023-04170-y.
This paper analyzed the cases of dural arteriovenous fistula (DAVF) with spinal dural arteriovenous fistula (SDAVF) in the diagnosis and treatment process.
One case involving dural arteriovenous fistula (DAVF) with spinal dural arteriovenous fistula (SDAVF) from the 306th Hospital of PLA was retrospectively analyzed. The patient consulted the doctor due to lower limb sensory and motor disorders while exhibiting symptoms of urinary dysfunction. A computed tomographic angiography (CTA) and cerebral angiography confirmed the diagnosis of dural arteriovenous fistula (DAVF), necessitating surgical treatment. The patient was referred to our hospital for an magnetic resonance imaging (MRI) and a spinal angiography to obtain a confirmed diagnosis for spinal arteriovenous fistula, after which they underwent surgical fistula resection. The invasive intracranial dural arteriovenous fistula (DAVF) resection proceeded smoothly but did not ease the patient's symptoms. However, postoperative symptoms were partially relieved by the lumbar open spinal dural arteriovenous fistula adminstration.
Since not enough is understood about these two diseases, the rate of misdiagnosis is significantly increased. Early diagnosis and treatment of spinal dural arteriovenous fistula (SDAVF) can play a positive role during the recovery from neural function damage.
本文分析了伴有脊髓硬脑膜动静脉瘘（SDAVF）的硬脑膜动静脉瘘（DAVF）病例在诊断和治疗过程中的情况。
回顾性分析解放军 306 医院 1 例伴有脊髓硬脑膜动静脉瘘（SDAVF）的硬脑膜动静脉瘘（DAVF）患者。该患者因下肢感觉运动障碍并伴有尿功能障碍就诊。计算机断层血管造影（CTA）和脑血管造影证实为硬脑膜动静脉瘘（DAVF），需要手术治疗。患者转至我院行磁共振成像（MRI）和脊髓血管造影以确诊脊髓动静脉瘘，随后行瘘切除术。颅内硬脑膜动静脉瘘（DAVF）的侵袭性切除术进行得很顺利，但没有缓解患者的症状。然而，术后症状通过腰椎开放性脊髓硬脑膜动静脉瘘给药部分缓解。
由于对这两种疾病了解不足，误诊率明显增加。早期诊断和治疗脊髓硬脑膜动静脉瘘（SDAVF）可以在神经功能损害恢复过程中发挥积极作用。
