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后颅窝硬脑膜动静脉畸形的自然消退(作者译)

[Spontaneous regression of a posterior fossa dural arteriovenous malformation (author's transl)].

作者信息

Endo S, Koshu K, Kodama N, Okada H

出版信息

No Shinkei Geka. 1979 Oct;7(10):1001-4.

PMID:522947
Abstract

A 29-year-old woman was admitted to our hospital because of dizziness, nausea and convulsive seizure. She complained of left sided tinnitus. Neurological examination revealed right homonymous hemianopsia, and systolic murmur on the left retroauricular area. Angiograms revealed a dural AVM in the left posterior fossa. Feeders of AVM were enlarged left occipital artery and middle meningeal artery. Since then she was treated only conservatively, but angiograms performed two years and one month later showed disappearance of the dural AVM. She experienced no head trauma, and no subarachnoidal hemorrhage. She has never been treated by irradiation nor contraceptives. We could find no clear mechanism for the spontaneous regression of the AVM.

摘要

一名29岁女性因头晕、恶心和惊厥发作入院。她主诉左侧耳鸣。神经系统检查发现右侧同向性偏盲,左耳后区域有收缩期杂音。血管造影显示左后颅窝有硬脑膜动静脉畸形(AVM)。AVM的供血动脉为增粗的左枕动脉和脑膜中动脉。此后她仅接受保守治疗,但两年零一个月后进行的血管造影显示硬脑膜AVM消失。她未曾经历头部外伤,也没有蛛网膜下腔出血。她从未接受过放疗或服用避孕药。我们未能找到AVM自发消退的明确机制。

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