临床误诊误治Issue(7)：52-54,3.DOI:10.3969/j.issn.1002-3429.2014.07.021
误诊为感音性耳聋及颈动静脉瘘的硬脑膜动静脉瘘
Dural Arteriovenous Fistula Misdiagnosed as Sensorineural Hearing Loss and Neck Arteriovenous Fistula
刘景传 1汤志伟 1王崇谦 1王进昆1
作者信息
- 1. 650032 昆明，昆明医科大学第一附属医院神经外一科
- 折叠
摘要
Abstract
Objective To improve the awareness and diagnostic capability of dural arteriovenous fistula (DAVF). Methods Clinical data of one misdiagnosed patient with DAVF was retrospectively analyzed. Results The patient visited a doctor for the right tinnitus for more than one year, and the patient had a traffic accident in the earlier time, but the patient suffered no injury at that time. The patient had continuous right tinnitus one year ago, and was misdiagnosed as having senso-rineural hearing loss in other hospitals. The symptom was aggravating after corresponding treatment, and the patient was misdi-agnosed as having neck arteriovenous fistula after the head CT angiography (CTA) examination in the same hospital. DAVF was confirmed by color Doppler examination and digital subtraction angiography after the patient was transferred to our hospi-tal. The patient was cured by the right DAVF fistula embolization under general anaesthesia, and there was no recurrence within 2 months of follow-up. Conclusion DAVF may have simple tinnitus or hearing loss in the primary stage, so clinicians and radiological physicians should increase awareness of the disease and perform related iconography examinations in order to avoid misdiagnosis and mistreatment.关键词
动静脉瘘/颅内动静脉畸形/误诊/耳鸣/听觉丧失,感音神经性Key words
Arteriovenous fistula/Intracranial arteriovenous malformations/Misdiagnosis/Tinnitus/Hearing loss, sensorineural分类
医药卫生引用本文复制引用
刘景传,汤志伟,王崇谦,王进昆..误诊为感音性耳聋及颈动静脉瘘的硬脑膜动静脉瘘[J].临床误诊误治,2014,(7):52-54,3.
