如何实施：外视镜辅助下 1 型脊髓硬脊膜动静脉瘘显微结扎术。
How I do it: Exoscope assisted microsurgical ligation of type 1 spinal dural arteriovenous fistula.
机构信息
Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Road, Lucknow, 226014, India.
出版信息
Acta Neurochir (Wien). 2024 Aug 27;166(1):352. doi: 10.1007/s00701-024-06236-2.
BACKGROUND
Type 1 Spinal dural arteriovenous fistula (dAVF) is a rare but curable vascular cause of myelopathy. Microneurosurgery is a very efficacious modality in treating them.
METHOD
A 26 year old gentleman with progressive flaccid paraparesis (LMN type) and urinary incontinence underwent surgery using exoscope for a right side T9-10 dAVF. A dilated vein was seen accompanying the exiting nerve root intraoperatively, consistent with the preoperative angiographic findings. The vein was ligated and divided leading to restitution of spinal cord vasculature on table and excellent postoperative outcome.
CONCLUSION
Surgical resection is a straightforward and highly effective treatment in spinal dAVF.
背景
1 型脊髓硬膜动静脉瘘（dAVF）是一种罕见但可治愈的脊髓病变血管病因。微血管神经外科手术是治疗该病的一种非常有效的方法。
方法
一位 26 岁的男性患者，表现为进行性弛缓性截瘫（下运动神经元型）和尿失禁，接受了使用手术内窥镜治疗右侧 T9-10 dAVF 的手术。术中可见一条扩张的静脉伴随神经根离开，与术前血管造影结果一致。静脉被结扎和切断，导致脊髓血管在手术台上恢复，术后结果良好。
结论
手术切除是脊髓 dAVF 的一种直接且高效的治疗方法。
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