Canta L R, van Rooij W J, Sluzewski M
Afd. Neurologie, St. Elisabeth Ziekenhuis, Tilburg.
Ned Tijdschr Geneeskd. 1995 Dec 23;139(51):2655-8.
In a 59-year-old male suffering from progressive gait disorder with paraparesis and sensory disturbances in the legs, two spinal dural arteriovenous fistulas on levels Tv and LIII were demonstrated by spinal angiography. Both fistulas were embolised with glue, which resulted in complete relief of his symptoms. Spinal dural arteriovenous fistulas are localized in the dura, extramedullary, and are most often found in males over forty. Signs and symptoms are caused by venous congestion and ischaemia of the spinal cord. Treatment is by means of embolisation or surgical ligation. Early diagnosis and treatment are important, since delay causes development of irreversible myelopathy.
一名59岁男性，患有进行性步态障碍，伴有双下肢轻瘫和感觉障碍，脊髓血管造影显示胸12和腰3水平存在两处硬脊膜动静脉瘘。两处瘘均用胶水栓塞，症状完全缓解。硬脊膜动静脉瘘位于硬脊膜，髓外，最常见于40岁以上男性。体征和症状由脊髓静脉充血和缺血引起。治疗方法为栓塞或手术结扎。早期诊断和治疗很重要，因为延误可导致不可逆性脊髓病的发展。
