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2至15个月婴儿大脑大静脉动脉瘤。诊断与自然演变

Aneurysms of the vein of Galen in infants aged 2 to 15 months. Diagnosis and natural evolution.

作者信息

Diebler C, Dulac O, Renier D, Ernest C, Lalande G

出版信息

Neuroradiology. 1981;21(4):185-97. doi: 10.1007/BF00367340.

DOI:10.1007/BF00367340
PMID:6973102
Abstract

This is a report of seven cases of aneurysm of the vein of Galen (AVG) with a review of the clinical and radiological aspects of 48 cases in the literature. The natural evolution and pathophysiology of this vascular malformation are discussed. The clinical signs of this condition are often misleading. The appearance of AVG on CT is pathognomic. Surveillance of the vascular malformation and associated cerebral lesions can be maintained with subsequent CT. Spontaneous thrombosis of the aneurysm was observed in three cases. The diagnosis of thrombosis of the AVG was always made at operation or by histological examination. The radiological appearance of a thrombosed aneurysm is typical.

摘要

本文报告了7例大脑大静脉动脉瘤(AVG)病例,并对文献中48例病例的临床和放射学特征进行了回顾。讨论了这种血管畸形的自然演变和病理生理学。这种疾病的临床症状常常具有误导性。AVG在CT上的表现具有特征性。后续CT可用于监测血管畸形及相关脑病变。3例观察到动脉瘤自发血栓形成。AVG血栓形成的诊断总是在手术中或通过组织学检查做出。血栓形成的动脉瘤的放射学表现具有典型性。

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Congenital arteriovenous fistula with an aneurysm of the great cerebral vein and hydrocephalus treated surgically.先天性动静脉瘘合并大脑大静脉瘤及脑积水行手术治疗。
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