Hugosson R, Bergström K
J Neurol Neurosurg Psychiatry. 1974 Jan;37(1):97-101. doi: 10.1136/jnnp.37.1.97.
The dural arteriovenous malformation in the occipitomastoid region usually has multiple arterial tributaries from the internal and external carotid and vertebral arteries. They converge towards the proximal segment of the sigmoid sinus, where the arterial blood is shunted into the venous channel. Five cases of this malformation are described. In four of them attempts were made to eliminate the symptoms by radical isolation of the transverse and sigmoid sinuses from all dural attachments. In addition, the mastoid bone over the fistular region had to be removed. To judge from our experience of these operations, this disease is curable.
枕乳突区硬脑膜动静脉畸形通常有来自颈内、外动脉及椎动脉的多条动脉分支。它们向乙状窦近端汇聚，动脉血在此处被分流至静脉通道。本文描述了5例这种畸形病例。其中4例尝试通过将横窦和乙状窦与所有硬脑膜附着处彻底分离来消除症状。此外，瘘管区域上方的乳突骨也必须切除。从我们这些手术的经验来看，这种疾病是可治愈的。
