中国脑血管病杂志Issue(2)：89-94,6.DOI:10.3969/j.issn.1672-5921.2016.02.007
岩上静脉引流的硬脑膜动静脉瘘诊治分析
Analysis of diagnosis and treatment of dural arteriovenous fistula of super petrosal venous drainage
摘要
Abstract
Objective To investigate the clinical manifestations and imaging features of dural arterio-venous fistula of super petrosal venous drainage and treatment. Methods From May 2013 to September 2014,9 patients with petrosal vein drained dural arteriovenous fistula at the Department of Neurosurgery, Xuanwu Hospital,Capital Medical University and the Department of Neurosurgery,Beijing Haidian Hospital were enrolled retrospectively. The patients were treated with endovascular embolization or microsurgery,and the MRI and DSA examinations were improved,and the scores of the modified Aminoff&Logue scale (ALS) were performed before and after treatment. Results In the 9 patients,there were 3 females and 6 males. They all had different degrees of limb sensory and motor abnormalities,7 of them also had urination and/or bowel disorders,4 had cranial nerve dysfunction,including hoarseness,bucking,hiccup,and paralysis. Six patients received embolization treatment,3 received microsurgery,and they all achieved anatomic cure. The preoperative ALS score was 6. 0 ± 2. 7,and the score at 3 months after procedure was 2. 8 ± 1. 7. There was significant difference between before and after treatment (t=4. 816,P<0. 05). Conclusions The petrosal vein drained dural arteriovenous fistula is a kind of rare cerebrovascular malformation. The lesion involves a wide range. The clinical manifestations are severe. Both endovascular embolization and microsurgery can achieve a more ideal therapeutic effect. If the vascular condition is permitted,the interventional embolization treatment should be preferred.关键词
动静脉瘘/岩上静脉/硬脑膜动静脉瘘Key words
Arteriovenous fistula/Super petrosal vein/Dural arteriovenous fistula引用本文复制引用
马永杰,李传捷,卞立松,柳江,王志潮,李桂林,张鸿祺..岩上静脉引流的硬脑膜动静脉瘘诊治分析[J].中国脑血管病杂志,2016,(2):89-94,6.基金项目
国家自然科学基金资助项目 （）
