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彩色多普勒超声产前诊断脑动静脉畸形:病例报告及文献复习

Prenatal diagnosis of cerebral arteriovenous malformation using color Doppler ultrasonography: case report and review of the literature.

作者信息

Sepulveda W, Platt C C, Fisk N M

机构信息

Centre for Fetal Care, Royal Postgraduate Medical School, Queen Charlotte's and Chelsea Hospital, UK.

出版信息

Ultrasound Obstet Gynecol. 1995 Oct;6(4):282-6. doi: 10.1046/j.1469-0705.1995.06040282.x.

Abstract

Aneurysms of the vein of Galen are rare, representing less than 1% of all intracranial arteriovenous malformations. In the fetus, however, almost all cerebral arterial malformations involve the vein of Galen, usually presenting in the neonatal period with severe cardiac failure leading to neonatal death. In this report we present a case of arteriovenous malformation involving the vein of Galen detected prenatally at 35 weeks with the use of color Doppler ultrasonography. The literature is reviewed in an attempt to delineate the role of prenatal ultrasonography in the diagnosis and its impact on perinatal outcome.

摘要

大脑大静脉动脉瘤很罕见,占所有颅内动静脉畸形的比例不到1%。然而,在胎儿中,几乎所有的脑动脉畸形都累及大脑大静脉,通常在新生儿期表现为严重心力衰竭,导致新生儿死亡。在本报告中,我们介绍了一例在孕35周时通过彩色多普勒超声产前检测出的累及大脑大静脉的动静脉畸形病例。本文回顾了相关文献,试图阐明产前超声在诊断中的作用及其对围产期结局的影响。

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