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海绵窦区硬脑膜动静脉瘘的诊断与治疗

王胜 李振强 何跃 陈如东 于加省 陈劲草 雷霆

神经损伤与功能重建2011,Vol.6Issue(3):172-175,4.
神经损伤与功能重建2011,Vol.6Issue(3):172-175,4.DOI:10.3870/sjsscj.2011.03.004

海绵窦区硬脑膜动静脉瘘的诊断与治疗

Diagnosis and Treatment of Cavernous Sinus Dural Arteriovenous Fistula

王胜 1李振强 1何跃 1陈如东 1于加省 1陈劲草 1雷霆1

作者信息

  • 1. 华中科技大学同济医学院附属同济医院神经外科,武汉,430030
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摘要

Abstract

Objective:To investigate the diagnostic and endovascular therapeutic methods of cavernous sinus dural arteriovenous fistula (CSDAVF). Methods: Fifteen CSDAVF cases were confirmed with whole cerebral angiography. The patients were treated by compression of the common carotid artery or just follow-up in one case, transvenous embolization in nine cases,transarterial embolization in three cases respectively. Transvenous and transarterial embolizations were combined in two cases. Results:Immediate complete obliteration of the fistula was achieved in 2 out of 3,and partial. Occlusion of the fistula was achieved in one case by transarterial embolization. Immediate complete obliteration of the fistula was achieved in all the cases treated by transvenous embolization. Clinical cure or alleviation was achieved in one case treated by compression of the common carotid artery. Conclusion:Being less invasive,safer and more effective,endovascular embolization is an ideal method for treatment of CSDAVF.

关键词

硬脑膜动静脉瘘/海绵窦/血管内栓塞/诊断/治疗

Key words

dural arteriovenous fistula/ cavernous sinus/ embolization/ diagnosis/ treatment

分类

医药卫生

引用本文复制引用

王胜,李振强,何跃,陈如东,于加省,陈劲草,雷霆..海绵窦区硬脑膜动静脉瘘的诊断与治疗[J].神经损伤与功能重建,2011,6(3):172-175,4.

神经损伤与功能重建

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