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[颈面部浅表静脉畸形与脑静脉系统发育异常]

[Cervicofacial superficial venous malformations and developmental abnormalities of the cerebral venous system].

作者信息

Enjolras O, Boukobza M, Guichard J P, Gelbert F, Merland J J

机构信息

Service de Dermatologie, Hôpital Cochin, Paris.

出版信息

Ann Dermatol Venereol. 1996;123(4):235-9.

PMID:8763745
Abstract

INTRODUCTION

Cerebral developmental venous anomalies (DVA) are uncommon trajectories of the brain venous drainage. They must be differentiated from cavernomas. Patients with head-and-neck venous malformations can have DVA in their brain, a finding much more frequent than in general population.

OBSERVATIONS

Three patients had DVA in their brain; this was an incidental discovery when investigating their facial or cervical superficial venous anomalies using arteriography, CT, MRI and MRA.

COMMENT

DVA are uncommon variations of the brain venous system. In a vast majority of patients, this anatomical variant appears to be tolerated well, in contrast to cerebral cavernoma that can cause intracranial hemorrhage and neurologic symptoms. We want to stress the fact that the frequency of DVA occurring in patients with cervicofacial VM is much higher than in general population. This pattern is often a fortuitous finding in the work-up of these patients and it must be known in order to stop confusing it with true cerebral venous "angioma": the carvernoma.

摘要

引言

脑发育性静脉异常(DVA)是脑静脉引流的罕见路径。它们必须与海绵状血管瘤相鉴别。头颈部静脉畸形患者的脑部可能存在DVA,这一发现比普通人群更为常见。

观察结果

三名患者脑部存在DVA;这是在使用动脉造影、CT、MRI和MRA对其面部或颈部浅表静脉异常进行检查时偶然发现的。

评论

DVA是脑静脉系统的罕见变异。与可导致颅内出血和神经症状的脑海绵状血管瘤不同,在绝大多数患者中,这种解剖变异似乎耐受性良好。我们想强调的是,DVA在面颈部静脉畸形患者中的发生率远高于普通人群。这种情况在这些患者的检查中常常是偶然发现的,必须了解这一点,以免将其与真正的脑静脉“血管瘤”(即海绵状血管瘤)混淆。

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