Deinsberger W, Vorkapic P, Samii M
Neurochirurgische Klinik, Nordstadtkrankenhaus, Medizinische Hochschule Hannover.
Nervenarzt. 1994 Oct;65(10):704-6.
Dural arteriovenous fistulas are rare vascular malformations presenting with very different clinical signs, depending on the pattern of venous drainage. Retrograde leptomeningeal venous drainage is significantly correlated with a progressive neurological presentation. A case of a dural arteriovenous fistula with cortical venous drainage is presented. The draining vein was frankly aneurysmal dilated. Rupture of this venous aneurysm caused an intracerebral hemorrhage. The venous varix and the hematoma were microsurgically resected and evacuated.
硬脑膜动静脉瘘是一种罕见的血管畸形,其临床表现因静脉引流模式而异。逆行性软脑膜静脉引流与进行性神经功能表现显著相关。本文报告一例伴有皮质静脉引流的硬脑膜动静脉瘘病例。引流静脉呈明显的动脉瘤样扩张。该静脉瘤破裂导致脑出血。通过显微手术切除并清除了静脉瘤和血肿。