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血管内栓塞治疗罕见的伴有脑积水的左侧基底节区大型动静脉畸形1例：病例报告

Endovascular Embolization in a Rare Case of Left Basal Ganglia Large Arteriovenous Malformation with Hydrocephalus: A Case Report.

作者信息

Soni Tushar V, Patel Hiren, Patel Mahendra G

机构信息

Department of Neurosurgery, Smt. NHL Municipal Medical College & Sardar Vallabhbhai Patel Hospital, Ahmedabad, Gujarat, India.

出版信息

Asian J Neurosurg. 2024 Jun 25;19(3):513-519. doi: 10.1055/s-0042-1750307. eCollection 2024 Sep.

DOI:10.1055/s-0042-1750307
PMID:39205898
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11349414/
Abstract

Brain arteriovenous malformation (AVM) is a rare congenital disorder affecting young adults with an incidence of 0.94 per 100,000 population. Intracranial digital subtraction angiography has to be done in all patients and grading of AVM is done as per Spetzler-Martin grading. We report a rare case of left basal ganglia large AVM treated by endovascular embolization. Our experience with endovascular embolization using Onyx is successful in the treatment of large brain AVM. Endovascular embolization with Onyx is safe and feasible in deeply located large AVMs of the brain. Our patient has postoperatively recovered completely without any neurological deficit.

摘要

脑动静脉畸形（AVM）是一种罕见的先天性疾病，主要影响年轻人，发病率为每10万人中有0.94例。所有患者均需进行颅内数字减影血管造影，并根据Spetzler-Martin分级对AVM进行分级。我们报告了一例罕见的经血管内栓塞治疗的左基底节区大型AVM病例。我们使用Onyx进行血管内栓塞的经验在治疗大型脑AVM方面取得了成功。对于脑深部大型AVM，使用Onyx进行血管内栓塞是安全可行的。我们的患者术后完全康复，没有任何神经功能缺损。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/337e/11349414/3f89c042e0f3/10-1055-s-0042-1750307-i31121-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/337e/11349414/28b793af9ad7/10-1055-s-0042-1750307-i31121-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/337e/11349414/3e56f778e6fd/10-1055-s-0042-1750307-i31121-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/337e/11349414/638286044b64/10-1055-s-0042-1750307-i31121-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/337e/11349414/cd2ecd3f3fd1/10-1055-s-0042-1750307-i31121-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/337e/11349414/213d9d994adf/10-1055-s-0042-1750307-i31121-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/337e/11349414/d9e716fcf6e5/10-1055-s-0042-1750307-i31121-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/337e/11349414/3f89c042e0f3/10-1055-s-0042-1750307-i31121-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/337e/11349414/28b793af9ad7/10-1055-s-0042-1750307-i31121-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/337e/11349414/3e56f778e6fd/10-1055-s-0042-1750307-i31121-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/337e/11349414/638286044b64/10-1055-s-0042-1750307-i31121-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/337e/11349414/cd2ecd3f3fd1/10-1055-s-0042-1750307-i31121-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/337e/11349414/213d9d994adf/10-1055-s-0042-1750307-i31121-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/337e/11349414/d9e716fcf6e5/10-1055-s-0042-1750307-i31121-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/337e/11349414/3f89c042e0f3/10-1055-s-0042-1750307-i31121-7.jpg

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本文引用的文献

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Endovascular treatment of brain arteriovenous malformations using onyx: preliminary results of a prospective multicenter study.使用Onyx进行脑动静脉畸形的血管内治疗：一项前瞻性多中心研究的初步结果
Interv Neuroradiol. 2005 Oct 5;11(Suppl 1):159-64. doi: 10.1177/15910199050110S119. Epub 2005 Oct 27.
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Embolization of arteriovenous malformations with Onyx: clinicopathological experience in 23 patients.使用Onyx栓塞动静脉畸形：23例患者的临床病理经验
Neurosurgery. 2001 May;48(5):984-95; discussion 995-7. doi: 10.1097/00006123-200105000-00003.
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Endovascular management of patients with cerebral arteriovenous malformations.
脑动静脉畸形患者的血管内治疗
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Endovascular therapy of brain AVMs prior to radiosurgery.放射外科手术前脑动静脉畸形的血管内治疗。
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Treatment of brain arteriovenous malformations by embolization and radiosurgery.通过栓塞和放射外科治疗脑动静脉畸形
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Surgical management of large AVM's by staged embolization and operative excision.通过分期栓塞和手术切除对大型动静脉畸形进行外科治疗。
J Neurosurg. 1987 Jul;67(1):17-28. doi: 10.3171/jns.1987.67.1.0017.