Riché M C, Modenesi-Freitas J, Djindjian M, Merland J J
Neuroradiology. 1982;22(4):171-80. doi: 10.1007/BF00341245.
The cases of 38 children with AVM seen at the Lariboisière Hospital since 1962 are reviewed. The clinical picture was often of sudden onset with impairment of motor function and/or subarachnoid hemorrhage. The diagnosis was usually made by myelography, but spinal arteriography is the key examination, since it confirms the diagnosis and is essential to determine the exact location of the angioma: whether it is extramedullary, intramedullary, or mixed. Angiotomography and angiomyelography with magnification are necessary to determine if the lesion is median, compact, and if it has long sulco-commissural arteries, details which have an important bearing on the prognosis. Operation should be performed as soon as possible after its feasibility has been demonstrated angiographically. But embolization with new materials has also been effective, either associated with operation or as an alternative.
对自1962年以来在拉里博伊斯医院就诊的38例儿童动静脉畸形病例进行了回顾。临床表现通常为突然发病，伴有运动功能障碍和/或蛛网膜下腔出血。诊断通常通过脊髓造影做出，但脊髓血管造影是关键检查，因为它能确诊并确定血管瘤的确切位置：是髓外、髓内还是混合型。血管断层摄影术和放大血管脊髓造影术对于确定病变是否为中央型、致密型以及是否有长的沟联合动脉是必要的，这些细节对预后有重要影响。一旦血管造影显示可行，应尽快进行手术。但使用新材料进行栓塞也有效，可与手术联合或作为替代方法。
