U H S, Kerber C
Neurosurgery. 1983 May;12(5):572-5.
Enlarged veins in two vascular malformations blocked the cerebrospinal fluid outflow pathways, causing hydrocephalus. Both patients presented not with the usual clinical picture (hemorrhage, seizure, etc.), but with signs of increased intracranial pressure. Computed tomography and angiography were necessary to understand the pathophysiology. An arteriovenous malformation was responsible for the first patient's headache, and a venous varix was the causative lesion in the second patient. Hydrocephalus caused by a venous varix has not been reported before.
两个血管畸形中的静脉扩张阻塞了脑脊液流出通道,导致脑积水。两名患者均未表现出常见的临床表现(出血、癫痫发作等),而是出现颅内压升高的体征。计算机断层扫描和血管造影对于了解病理生理机制是必要的。动静脉畸形是导致第一名患者头痛的原因,而静脉瘤样扩张是第二名患者的致病病变。此前尚未有静脉瘤样扩张导致脑积水的报道。