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[利用磁共振血管造影术诊断血栓形成后硬脑膜动静脉瘘]

[Diagnosis of a post-thrombophlebitic dural fistula using MR angiography].

作者信息

Meyer X, Berthezene Y, Ongolo P, Tournut P, Turjman F, Froment J C

机构信息

Service de Neuroradiologie, Hôpital Neurologique et Neurochirurgical P. Wertheimer, Lyon.

出版信息

J Neuroradiol. 1996 Sep;23(2):69-73.

PMID:8991962
Abstract

We report a case in which MRA made it possible to diagnose a dural arteriovenous fistula and thrombophlebitis in a 23-year old woman. 2D TOF MRA is the usual technique in the diagnosis of thrombophlebitis. Our experience shows the limits of 2D TOF since the increased signal intensity in the sinus could simulate a normal flow, and we describe the advantages of MR subtraction angiography. In our study, 3D TOF MRA showed the dural arteriovenous fistula, its location near the right transverse sinus and some of the feeding vessels: tentorial branch of the internal carotid artery and meningeal branch of the right occipital artery. 3D TOF MRA provides the diagnosis of dural arteriovenous fistula, but it cannot replace the plain angiography performed before endovascular or surgical treatment.

摘要

我们报告了一例通过磁共振血管造影(MRA)诊断出一名23岁女性患有硬脑膜动静脉瘘和血栓性静脉炎的病例。二维时间飞跃法(2D TOF)MRA是诊断血栓性静脉炎的常用技术。我们的经验显示了2D TOF的局限性,因为窦内信号强度增加可能会模拟正常血流,并且我们描述了磁共振减影血管造影的优势。在我们的研究中,三维时间飞跃法(3D TOF)MRA显示了硬脑膜动静脉瘘、其在右侧横窦附近的位置以及一些供血血管:颈内动脉幕支和右侧枕动脉脑膜支。3D TOF MRA可诊断硬脑膜动静脉瘘,但它不能替代在血管内或手术治疗前进行的普通血管造影。

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