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[病例报告:伴有脑动脉瘤、脑动静脉畸形和肺动静脉瘘的遗传性出血性毛细血管扩张症(作者译)]

[A case report: Osler-Weber-Rendu disease with cerebral aneurysm, cerebral arteriovenous malformation and pulmonary arteriovenous fistula (author's transl)].

作者信息

Kamiyama K, Okada H, Niizuma H, Higuchi H

出版信息

No Shinkei Geka. 1981 Jan;9(1):67-72.

PMID:7231629
Abstract

Osler-Weber-Rendu disease (hereditary hemorrhagic telangiectagia) is a rare vascular disorder which is characterized clinically by inherited telangiectasia of skin, mucous membrane and recurrent hemorrhage. However, it is not rare that various organs, for instance, lung, liver, intestine are inflicted by vascular disorder in this disease, and central nervous system is not an exception. A 60-year old man was examined for repeated epistaxis and an episode of subarachnoid hemorrhage. In this case, left middle cerebral artery aneurysm, arteriovenous malformation fed by left posterior cerebral artery and pulmonary arteriovenous fistula were revealed by angiography and computerized tomography. It is interesting that various vascular disorders were found in one case.

摘要

奥斯勒-韦伯-伦迪病(遗传性出血性毛细血管扩张症)是一种罕见的血管疾病,其临床特征为遗传性皮肤、黏膜毛细血管扩张及反复出血。然而,在该疾病中,各个器官如肺、肝、肠等受血管病变影响并不罕见,中枢神经系统也不例外。一名60岁男性因反复鼻出血及一次蛛网膜下腔出血发作接受检查。在此病例中,血管造影和计算机断层扫描显示左侧大脑中动脉瘤、由左侧大脑后动脉供血的动静脉畸形以及肺动静脉瘘。有趣的是,在一个病例中发现了多种血管病变。

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