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題名 | Venous Stroke with Intracranial Dural Arteriovenous Fistula=顱內硬腦膜動靜脈廔管併靜脈性中風 |
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作者姓名(中文) | 蔣宗文; 賴向榮; 張兩溉; 張永義; 藍旻瑜; 郭葉璘; 呂鎮中; 劉家壽; | 書刊名 | Acta Neurologica Taiwanica |
卷期 | 12:1 2003.03[民92.03] |
頁次 | 頁24-29 |
分類號 | 415.922 |
關鍵詞 | 硬腦膜動靜脈廔管; 靜脈性中風; Intracranial dural arteriovenous fistula; Myelopathy; Venous stroke; Magnetic resonance imaging; MRI; Angiography; Embolisation; |
語文 | 英文(English) |
英文摘要 | We present a 51-year-old man who developed a biphasic clinical course with an initial myelopathy followed by a lower brainstem syndrome caused by intracranial dural arteriovenous fistula. Brain magnetic resonance imaging (MRI) on T2-weighted imaging demonstrated an extended high signal intensity lesion in the upper cervical cord, medulla oblongata, and lower pons. Cerebral angiography disclosed a fistula between the left external carotid artery (ECA) and the left superior petrosal as well as sigmoid sinuses. There was retrograde venous drainage from the left superior petrosal sinus to the perimedullary cervical veins, leading to venous congestion and venous infarct. Transarterial and then transvenous embolisations were performed and successfully abolished the fistula. |
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