中国卒中杂志Issue(9)：718-722,5.
27例硬脑膜动静脉瘘的临床分析
Clinical Analysis of 27 Cases of Dural Arteriovenous Fistula
赵惠卿 1汪阳 2张亚清1
作者信息
- 1. 100050,北京首都医科大学附属北京天坛医院神经内科
- 2. 100050,首都医科大学附属北京天坛医院神经介入科
- 折叠
摘要
Abstract
Objective To discuss the potential risk factors, clinical and neuroimaging characteristics and the treatment of dural arteriovenous ifstula (DAVF).
<br> Methods The clinical data of 27 cases of DAVF that comes from the continuous hospitalization patients at the Department of Neurology of Beijing Tiantan Hospital from October 2009 to December 2012, including onset styles, risk factors, initial symptoms, neuroimaging characteristics and treatment modalities, were retrospectively analyzed.
<br> Results In the 27 cases of DAVF, 13 (48.1%) cases were with acute onset and in which 10 (37%) cases were with the concomitant disease of cerebral hemorrhage or subarachnoid hemorrhage, 3 (11.1%) cases were with the concomitant diseases of thrombosis of intracranial venous sinus and hyperhomocysteinaemia respectively and 11 (40.7%) cases were with the initial symptom of headache. In the 27 cases of DAVF, 3 (11.1%) cases were with subacute onset and in which 1 (3.7%) case was with the concomitant disease of thrombosis of intracranial venous sinus and 1 (3.7%) case was with the initial symptom of limb paralysis or aphasia respectively. In the 27 cases of DAVF, 11 (40.7%) cases were with chronic course and in which 5 (18.5%) cases were with the concomitant disease of cerebral hemorrhage or subarachnoid hemorrhage or thrombosis of intracranial venous sinus respectively, 3 (11.1%) cases were with the concomitant diseases of hyperhomocysteinaemia and 5 (18.5%) cases were with the initial symptom of headache or ocular symptoms respectively. In the 27 cases of DAVF, 19 cases had received brain CT scanner and in which 3 cases had been revealed the possibility of DAVF;18 cases had received brain MRI scanner and in which 7 cases had been revealed the possibility of DAVF;26 cases had received the examination of DSA and all of cases had been made a deifnite diagnosis of DAVF. Transverse-sigmoid sinus and cavernous sinus as the oriifces of DAVF were more common in this essay. In the 27 cases of DAVF, 14 (51.9%) cases had adopted endovascular embolization;7 (25.9%) cases with observation or selective therapy of endovascular embolization;2 (7.4%) cases had adopted the surgical treatment;4 (14.8%) cases had given up the treatment.
<br> Conclusion DAVF has different concomitant diseases with different onset styles. The clinical characteristics of DAVF are multiplicity. DSA has advantages for the diagnosis of DAVF. Endovascular embolization may be one of the effective therapies for DAVF.关键词
硬脑膜动静脉瘘/诊断/治疗Key words
Dural arteriovenous ifstula/Diagnosis/Treatment引用本文复制引用
赵惠卿,汪阳,张亚清..27例硬脑膜动静脉瘘的临床分析[J].中国卒中杂志,2013,(9):718-722,5.
