Flament H, Kothbauer P
Wien Klin Wochenschr. 1979 Mar 2;91(5):166-8.
The case is presented of a recurrent subarachnoid haemorrhage caused by an angiographically-proven spinal A. V. angioma of glomus type II at the C 1--2 level supplied by both vertebral arteries. The angioma was accompanied by a median naevus flammeus over the occipito-cervical region. The clinical differentiation between subarachnoid haemorrhage of cerebral and spinal origin is discussed and emphasis is placed on the significance of complete cerebral angiography for the detection of the sources of recurrent subarachnoid haemorrhage of undetermined origin.
本文报告一例复发性蛛网膜下腔出血病例,其病因是经血管造影证实的C1-2水平的II型球状脊髓动静脉血管瘤,由双侧椎动脉供血。该血管瘤伴有枕颈部正中火焰状痣。文中讨论了脑源性和脊髓源性蛛网膜下腔出血的临床鉴别,并强调了全脑血管造影对检测不明原因复发性蛛网膜下腔出血来源的重要性。