Szepan B
Acta Neurochir (Wien). 1977;36(3-4):243-53. doi: 10.1007/BF01405394.
The growth of a small arteriovenous angioma over a period of almost 18 years in a 20 year old patient has been proved by arteriography. This case is added to 29 cases previously published in the literature. The authors do not readily accept the theory of autochthonous growth, but prefer secondary or "pseudo-growth". In favour of this there are the following factors: 1. Not all arteriovenous angiomas observed over long periods show growth. 2. There are undoubted haemodynamic circulatory disturbances with turbulence, "wind-pocket effects", and abnormal shunts. 3. After complete removal of an angioma the cerebral circulation becomes normal and there is regression of the dilatation of the feeding and draining vessels.
经动脉造影证实,一名20岁患者的小动静脉血管瘤在近18年的时间里一直在生长。该病例被添加到文献中先前发表的29例病例中。作者并不轻易接受先天性生长的理论,而是倾向于继发性或“假性生长”。支持这一观点的因素如下:1. 长期观察到的并非所有动静脉血管瘤都会生长。2. 存在无疑的血液动力学循环紊乱,伴有湍流、“风袋效应”和异常分流。3. 血管瘤完全切除后,脑循环恢复正常,供血和引流血管的扩张消退。