Auzou P, Callonnec F, Hannequin D, Proust F, Augustin P, Thiebot J
Clinique Neurologique, CHU Rouen.
J Radiol. 1997 Mar;78(3):219-22.
Complete disappearance of a cerebral arteriovenous malformation (AVM), 9 years after its discovery, is reported in a 45-year-old man. This unusual evolution was revealed by the onset of 3 seizures. CT scan and MR imaging eliminated any hemorrhage and carotid angiography showed the spontaneous thrombosis of the whole malformation. The evolution of the MRI signals demonstrates that seizures and the disappearance of the AVM were concomitant. It is suggested that the spontaneous thrombosis of the venous drainage caused the AVM disappearance with cerebral oedema responsible of seizures.
据报道,一名45岁男性的脑动静脉畸形(AVM)在发现9年后完全消失。3次癫痫发作的出现揭示了这种不寻常的演变过程。CT扫描和磁共振成像排除了任何出血情况,颈动脉血管造影显示整个畸形自发血栓形成。MRI信号的演变表明癫痫发作与AVM的消失是同时发生的。有人认为,静脉引流的自发血栓形成导致了AVM的消失,而脑水肿则是癫痫发作的原因。