中国当代儿科杂志2025，Vol.27Issue(4)：500-504,5.DOI:10.7499/j.issn.1008-8830.2411146
以呼吸困难起病的新生儿硬脑膜动静脉瘘1例
Dural arteriovenous fistula in a neonate presenting with respiratory distress
杜玥 1张敬华 1李军亮 2汪周平 3吴玫瑰1
作者信息
- 1. 广州医科大学附属妇女儿童医疗中心新生儿中心,广东 广州 510623
- 2. 广州医科大学附属妇女儿童医疗中心神经外科,广东 广州 510623
- 3. 广州医科大学附属妇女儿童医疗中心心脏中心,广东 广州 510623
- 折叠
摘要
Abstract
The patient,a 20-day-old male,was admitted due to respiratory distress that had persisted for 20 days after birth.The main clinical manifestations included gradually worsening respiratory distress and edema.The patient received treatment including mechanical ventilation and diuretics.Echocardiography indicated cardiomegaly,pulmonary hypertension,and heart failure.A comprehensive systemic examination revealed a significant blowing vascular murmur upon auscultation over the anterior fontanelle and bilateral temporal regions.Further imaging studies including cranial magnetic resonance imaging,magnetic resonance angiography,and magnetic resonance venography showed marked dilation of the superior sagittal sinus,transverse sinus,and sigmoid sinus,leading to a definitive diagnosis of dural arteriovenous fistula.After a multidisciplinary consultation,the patient underwent cerebral angiography and partial embolization of the left parietal arteriovenous fistula.Postoperatively,the patient was treated with positive inotropes,diuretics,and fluid restriction.Ultimately,the patient was weaned off the ventilator and discharged in improved condition.This article reports a case of neonatal dural arteriovenous fistula presenting with respiratory distress and discusses the multidisciplinary approach to managing this condition,which aids in early disease recognition and guides clinical decision-making.关键词
硬脑膜动静脉瘘/呼吸困难/心力衰竭/肺动脉高压/新生儿Key words
Dural arteriovenous fistula/Respiratory distress/Heart failure/Pulmonary hypertension/Neonate引用本文复制引用
杜玥,张敬华,李军亮,汪周平,吴玫瑰..以呼吸困难起病的新生儿硬脑膜动静脉瘘1例[J].中国当代儿科杂志,2025,27(4):500-504,5.
