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仅由大脑前动脉远端硬脑膜供血的大脑镰硬脑膜动静脉瘘

A Dural Arteriovenous Fistula in the Falx Cerebri Solely Supplied by the Distal Dural Supply of the Anterior Cerebral Artery.

作者信息

Su Xin, Zhang Hongqi, Sun Liyong

机构信息

Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.

Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.

出版信息

World Neurosurg. 2025 Jan;193:472-473. doi: 10.1016/j.wneu.2024.12.018. Epub 2024 Dec 29.

DOI:10.1016/j.wneu.2024.12.018
PMID:39672508
Abstract

Dural arteriovenous fistulas of the falx cerebri are extremely rare and may be associated with the falcine sinus. The distal dural supply from the anterior cerebral artery comes via the pericallosal artery. This artery can send branches to the free edge of the falx cerebri. Dural arteriovenous fistula in the falx cerebri solely supplied by the distal dural supply of the anterior cerebral artery may be more suitable for surgical treatment rather than endovascular therapy. We describe a rare case of dural arteriovenous fistula in the falx cerebri solely supplied by the distal dural supply of the anterior cerebral artery, which was treated with surgical ligation of the draining vein.

摘要

大脑镰硬脑膜动静脉瘘极为罕见,可能与大脑镰窦有关。大脑前动脉的硬脑膜远端供血通过胼周动脉而来。该动脉可向大脑镰的游离缘发出分支。仅由大脑前动脉硬脑膜远端供血的大脑镰硬脑膜动静脉瘘可能更适合手术治疗而非血管内治疗。我们描述了一例仅由大脑前动脉硬脑膜远端供血的大脑镰硬脑膜动静脉瘘罕见病例,该病例通过手术结扎引流静脉进行了治疗。

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