边缘窦的硬脑膜动静脉瘘
Dural arteriovenous fistulas of the marginal sinus.
作者信息
McDougall C G, Halbach V V, Dowd C F, Higashida R T, Larsen D W, Hieshima G B
机构信息
Department of Radiology, University of California, San Francisco, Medical Center, USA.
出版信息
AJNR Am J Neuroradiol. 1997 Sep;18(8):1565-72.
PURPOSE
To investigate the clinical presentation, angiographic findings, endovascular management and clinical outcome in dural arteriovenous fistulas (DAVFs) of the marginal sinus.
METHODS
Fourteen patients with DAVFs of the marginal sinus were identified from angiographic studies and medical records of all patients treated for DAVFs at our institution between July 1990 and August 1995. The endovascular treatment and clinical outcomes of these patients are reported.
RESULTS
Eleven patients had pulse-synchronous bruit, two had intracranial hemorrhage, and one had ataxia. Thirteen patients were cured with endovascular techniques alone and one was cured by a combination of preoperative embolization followed by surgical obliteration of the fistula. The sole complication of treatment was a partial left hypoglossal nerve palsy, which resolved spontaneously.
CONCLUSION
DAVFs of the marginal sinuses are potentially life-threatening lesions that can be treated with endovascular techniques for a high rate of cure and a low rate of morbidity.
目的
探讨边缘窦硬脑膜动静脉瘘（DAVFs）的临床表现、血管造影表现、血管内治疗及临床结果。
方法
从1990年7月至1995年8月在本机构接受DAVFs治疗的所有患者的血管造影研究和病历中，确定了14例边缘窦DAVFs患者。报告了这些患者的血管内治疗及临床结果。
结果
11例患者有搏动性同步杂音，2例有颅内出血，1例有共济失调。13例患者仅通过血管内技术治愈，1例通过术前栓塞联合手术闭塞瘘口治愈。治疗的唯一并发症是左侧舌下神经部分麻痹，可自行缓解。
结论
边缘窦DAVFs是潜在的危及生命的病变，可通过血管内技术进行治疗，治愈率高且发病率低。
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