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一个不常见的病因：表现为耳痛和头晕的硬脑膜动静脉瘘

An Uncommon Culprit: Dural Arteriovenous Fistula Presenting as Otodynia and Dizziness.

作者信息

El Atrache Rima, Behera Anit K, Ramachandran Lintu, Rahbar Kasra

机构信息

Neurology, Baylor College of Medicine, Houston, USA.

Stroke, Baylor College of Medicine, Houston, USA.

出版信息

Cureus. 2024 Jul 1;16(7):e63602. doi: 10.7759/cureus.63602. eCollection 2024 Jul.

DOI:10.7759/cureus.63602
PMID:39087159
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11290400/
Abstract

Dural arteriovenous fistulas (DAVFs) are rare vascular abnormalities that can present with diverse neurological symptoms. We report a case of a woman in her early 60s who presented with pain in the left ear and dizziness. Neurological evaluation and imaging studies revealed a DAVF in the left cerebellopontine angle. This case underscores the importance of considering DAVF as a potential etiology in patients presenting with atypical otological symptoms.

摘要

硬脑膜动静脉瘘（DAVFs）是一种罕见的血管异常疾病，可表现出多种神经症状。我们报告一例60岁出头的女性患者，她出现左耳疼痛和头晕症状。神经学评估和影像学检查显示左侧桥小脑角存在硬脑膜动静脉瘘。该病例强调了在出现非典型耳科症状的患者中，将硬脑膜动静脉瘘视为潜在病因的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b162/11290400/9bdb4d5f567d/cureus-0016-00000063602-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b162/11290400/9d7c6cabd1e4/cureus-0016-00000063602-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b162/11290400/45d517e7e950/cureus-0016-00000063602-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b162/11290400/e87091213c08/cureus-0016-00000063602-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b162/11290400/cfdf528b7d39/cureus-0016-00000063602-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b162/11290400/9bdb4d5f567d/cureus-0016-00000063602-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b162/11290400/9d7c6cabd1e4/cureus-0016-00000063602-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b162/11290400/45d517e7e950/cureus-0016-00000063602-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b162/11290400/e87091213c08/cureus-0016-00000063602-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b162/11290400/cfdf528b7d39/cureus-0016-00000063602-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b162/11290400/9bdb4d5f567d/cureus-0016-00000063602-i05.jpg

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本文引用的文献

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Front Neurol. 2023 Dec 7;14:1293056. doi: 10.3389/fneur.2023.1293056. eCollection 2023.
2
Acquired dural arteriovenous fistula after cerebellopontine angle meningioma: A case report.小脑桥脑角脑膜瘤术后获得性硬脑膜动静脉瘘：一例报告。
Medicine (Baltimore). 2022 Jul 15;101(28):e29671. doi: 10.1097/MD.0000000000029671.
3
Posterior condylar canal dural arteriovenous fistula as a rare cause of glossopharyngeal neuralgia: A case report.
后髁管硬膜动静脉瘘致舌咽神经痛：1 例报告。
Headache. 2021 Sep;61(8):1281-1285. doi: 10.1111/head.14190. Epub 2021 Jul 26.
4
Dural arteriovenous fistula and arteriovenous malformation presenting as trigeminal neuralgia.表现为三叉神经痛的硬脑膜动静脉瘘和动静脉畸形。
BMJ Case Rep. 2021 Jan 7;14(1):e240483. doi: 10.1136/bcr-2020-240483.
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Multiple Dural Arteriovenous Fistulas Manifesting as Progressive Otalgia and Tinnitus and Treated Using a Single Session of Endovascular Embolization.多例表现为进行性耳痛和耳鸣的硬脑膜动静脉瘘，采用单次血管内栓塞治疗。
Clin Interv Aging. 2020 Dec 8;15:2313-2320. doi: 10.2147/CIA.S277762. eCollection 2020.
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