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表现为脊髓病的颈椎静脉瘘合并神经纤维瘤病：一例报告及文献复习

Cervical vertebral-venous fistula with neurofibromatosis presenting as myelopathy: A case report and literature review.

作者信息

Bahl Ina, Kataria Rashim, Srivastava Trilochan, Purohit Devendra, Singh Manmohan

机构信息

Department of Neurosurgery, SMS Medical College and Attached Hospitals, Jaipur, India.

Department of Neurology, SMS Medical College and Attached Hospitals, Jaipur, India.

出版信息

J Cerebrovasc Endovasc Neurosurg. 2025 Jun;27(2):152-158. doi: 10.7461/jcen.2025.E2024.08.002. Epub 2025 Mar 6.

DOI:10.7461/jcen.2025.E2024.08.002
PMID:40040410
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12235254/
Abstract

Vertebral-venous fistula (VVF) is a rare vascular disorder characterized by an atypical, direct, high-flow shunt between an extracranial vertebral artery and its adjoining vein. While it can originate spontaneously in association with conditions affecting the vascular wall, trauma is also a recognized etiological factor. We report a case of a 64-year-old gentleman with multiple neurofibromas who presented with a cervical VVF leading to cervical myelopathy, successfully managed with endovascular coiling. The condition's rarity and the complex vascular anatomy involved have hindered the development of standardized management guidelines. Our experience aligns with literature indicating that endovascular treatment can be a safe and effective approach for VVF.

摘要

椎静脉瘘（VVF）是一种罕见的血管疾病，其特征是颅外椎动脉与其相邻静脉之间存在非典型、直接的高流量分流。虽然它可与影响血管壁的疾病相关自发发生，但创伤也是公认的病因。我们报告一例64岁患有多发性神经纤维瘤的男性患者，其因颈椎椎静脉瘘导致颈髓病，通过血管内栓塞成功治疗。该疾病的罕见性以及所涉及的复杂血管解剖结构阻碍了标准化管理指南的制定。我们的经验与文献一致，表明血管内治疗对椎静脉瘘可能是一种安全有效的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19fa/12235254/05c204c6074d/jcen-2025-e2024-08-002f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19fa/12235254/9a37a952a02d/jcen-2025-e2024-08-002f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19fa/12235254/edbfc67b658f/jcen-2025-e2024-08-002f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19fa/12235254/68b1867b00ff/jcen-2025-e2024-08-002f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19fa/12235254/05c204c6074d/jcen-2025-e2024-08-002f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19fa/12235254/9a37a952a02d/jcen-2025-e2024-08-002f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19fa/12235254/edbfc67b658f/jcen-2025-e2024-08-002f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19fa/12235254/68b1867b00ff/jcen-2025-e2024-08-002f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19fa/12235254/05c204c6074d/jcen-2025-e2024-08-002f4.jpg

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本文引用的文献

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Vertebral-Venous fistulas: Single center experience and practical treatment approach.椎静脉瘘：单中心经验及实用治疗方法
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Case of Iatrogenic Vertebro-Vertebral Arteriovenous Fistula Treated by Combination of Double-Catheter and Balloon Anchoring Techniques.医源性椎-椎动静脉瘘采用双导管球囊锚定技术治疗 1 例
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Vertebral Arteriovenous Fistula: A Review Article.
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Endovascular Treatment of Vertebral-Venous Fistula with Flow-Diverting Stent.使用血流导向支架对椎静脉瘘进行血管内治疗。
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Lower vertebral-epidural spinal arteriovenous fistulas: a unique subtype of vertebrovertebral arteriovenous fistula, treatable with coil and Penumbra Occlusion Device embolization.低位椎体硬膜外脊髓动静脉瘘：一种独特的椎-椎动静脉瘘亚型，可通过弹簧圈和Penumbra封堵装置栓塞治疗。
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