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与血管畸形相关的自发性颅内低压

Spontaneous Intracranial Hypotension Associated with Vascular Malformations.

作者信息

Mamlouk Mark D, Gutierrez Adriana, Dillon William P

机构信息

From the Department of Radiology (M.D.M., A.G.), The Permanente Medical Group, Kaiser Permanente Medical Center, Santa Clara, Santa Clara, California

Department of Radiology and Biomedical Imaging (M.D.M., W.P.D.), University of California, San Francisco, San Francisco, California.

出版信息

AJNR Am J Neuroradiol. 2025 Feb 3;46(2):426-432. doi: 10.3174/ajnr.A8471.

Abstract

Spinal CSF leaks from dural tears or CSF-venous fistulas are the most common causes of spontaneous intracranial hypotension. Rarely, CSF leaks have also been associated with vascular malformations, which have primarily been discussed in case reports or small series. In this clinical report, we report the clinical features, imaging findings, and treatment of 6 children and adults with CSF leaks associated with vascular malformations in the spine and skull base depicted on CT myelography and cisternography.

摘要

硬脑膜撕裂或脑脊液-静脉瘘导致的脊髓脑脊液漏是自发性颅内低压最常见的原因。脑脊液漏很少也与血管畸形有关,这主要在病例报告或小系列研究中有所讨论。在本临床报告中,我们报告了6例儿童和成人脑脊液漏的临床特征、影像学表现及治疗情况,这些患者的脑脊液漏与脊髓和颅底血管畸形相关,通过脊髓CT造影和脑池造影得以显示。

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