Viñuela F, Fox A J, Pelz D M, Drake C G
J Neurosurg. 1986 Apr;64(4):554-8. doi: 10.3171/jns.1986.64.4.0554.
Fourteen patients had classical angiographic findings of intracranial dural arteriovenous malformations (AVM's). They presented with unusual central neurological signs and symptoms, including visual disturbances, hemiparesis, speech disturbances, gait ataxia, diffuse increased intracranial pressure, and intracranial hemorrhage. In 12 of the 14 patients there was a direct correlation between the clinical presentation and the venous drainage characteristics of the AVM's. The symptoms were probably related to a regional steal phenomenon in two patients. Six patients had direct surgical excision of the dural AVM. Five patients underwent endovascular embolization of the malformation and, in one case, the AVM was removed surgically after embolization. In one patient, the external carotid artery in the neck was ligated. Ten of the 14 patients had substantial clinical improvement or cure. A complete anatomical obliteration of the malformation was obtained in seven cases. None of the patients deteriorated clinically after therapy.
14例患者有颅内硬脑膜动静脉畸形（AVM）的典型血管造影表现。他们出现了不寻常的中枢神经系统体征和症状，包括视觉障碍、偏瘫、言语障碍、步态共济失调、颅内压弥漫性升高和颅内出血。在14例患者中的12例中，临床表现与AVM的静脉引流特征之间存在直接关联。2例患者的症状可能与局部盗血现象有关。6例患者接受了硬脑膜AVM的直接手术切除。5例患者接受了畸形血管的血管内栓塞治疗，其中1例在栓塞后进行了手术切除AVM。1例患者结扎了颈部的颈外动脉。14例患者中有10例有显著的临床改善或治愈。7例患者的畸形血管实现了完全解剖学上的闭塞。治疗后没有患者出现临床恶化。
