Nakada T, Kwee I L, Ellis W G, St John J N
Neurosurgery. 1985 Oct;17(4):653-6. doi: 10.1227/00006123-198510000-00021.
We report a case of congestive venous necrosis involving the diencephalon symmetrically, presumably precipitated by a dural arteriovenous malformation (AVM). The patient presented with a 1-month history of intermittent confusion and gait ataxia. The initial radiological work-up revealed a dural AVM. The patient's subsequent deterioration was accompanied by computed tomographic findings of diencephalic congestion. Pathological examination showed subacute necrosis of the diencephalon. We discuss the pathogenesis of this case of subacute diencephalic necorsis and its possible relationship to the entity of subacute diencephalic angioencephalopathy.
我们报告一例对称性累及间脑的充血性静脉坏死病例，推测由硬脑膜动静脉畸形（AVM）引发。患者有1个月间歇性意识模糊和步态共济失调病史。最初的影像学检查发现硬脑膜AVM。患者随后病情恶化，计算机断层扫描显示间脑充血。病理检查显示间脑亚急性坏死。我们讨论了这例亚急性间脑坏死的发病机制及其与亚急性间脑血管性脑病实体的可能关系。
