查詢結果分析
相關文獻
- Unusual Dural Arteriovenous Fistula from Extracranial Posterior Inferior Cerebellar Artery Treated by Embolization: Report of a Case
- 冰水試驗於評估慢性脊髓病變患者之逼尿肌收縮障礙時之不可靠性
- Delayed Myelopathy after Electrical Burn: Report of Two Cases
- Magnetic Resonance Imaging Findings in Radiation Myelopathy of the Thoracic Spinal Cord: A Report of Two Cases
- 脊髓病變的診斷及處置
- 中部地區脊髓病變學生回歸學校的探討
- Sequential MR Studies of a Patient with White Matter Disease Presenting Psychotic Symptoms:ADEM Versus Single-Episode MS
- The Prognosis of Patients with Cervical Spondylotic Myelopathy
- Atlas Hypoplasia Combined with Atlantoaxial Subluxation is a Cause of Non-traumatic Cervical Myelopathy
- Progressive Ischemic Myelopathy due to Painless Aortic Dissection: A Case Report
頁籤選單縮合
| 題 名 | Unusual Dural Arteriovenous Fistula from Extracranial Posterior Inferior Cerebellar Artery Treated by Embolization: Report of a Case=顱內硬腦膜動靜脈廔管由顱外後小腦動脈支配:病例報告 |
|---|---|
| 作 者 | 曾邵勇; 黃浩輝; 魏志鵬; | 書刊名 | 臺灣外科醫學會雜誌 |
| 卷 期 | 42:1 2009.01-02[民98.01-02] |
| 頁 次 | 頁35-40 |
| 分類號 | 416.29 |
| 關鍵詞 | 顱內硬腦膜動靜脈廔管; 脊髓病變; Dural arteriovenous fistula; Ascending myelopathy; Embolization; |
| 語 文 | 英文(English) |
| 中文摘要 | 我們報告一位57歲男性由於急性惡化的脊髓病變而住院,頸部磁振造影檢查(T2WI)發現腦幹及頸部脊椎神經亮度增加,並且在腦幹及頸部脊椎神經前方發現很多彎曲的不正常血管,經腦部血管攝影發現爲顱內硬腦膜動靜脈瘻管,並且此動靜脈屢管是由顱外後小腦動脈的腦膜分支所支配。根據Cognard分類,這是type V顱內硬腦膜動靜脈廔管。病人經過動脈栓塞治療,沒有任何併發症:在治療三個月後追蹤頸部磁振造影檢查發現腦幹及頸部脊椎神經亮度降低且不正常血管消失,病人的脊髓病變沒有惡化並且逐漸恢復。在文獻報告中type V顱內硬腦膜動靜脈廔管是不常見的,希望這一個少見病例的報告對將來的影像學檢查及治療有所貢獻。 |
| 英文摘要 | Background: According to the classification of Congard et al., type V dAVFs mainly drain into the spinal perimedullary veins. About half of the patients present with myelopathy. We report a case with such a rare lesion and discuss its clinical, radiological, as well as therapeutic aspects. Case presentation: A 57y/o male came to visit our hospital with progressive ascending myelopathy for one week. Cervical spine MRI revealed a high intensity signal in the brain stem and upper cervical spinal cord on T2WI with some serpentine abnormal vasculature. Digital subtraction angiography elucidated a dural arteriovenous fistula that derived from a branch of an extracranial posterior inferior cerebellar artery with perimedullary venous drainage. The patient was referred to the neuroradiology department for embolization. Post-embolization angiography showed complete obliteration of the dAVF, and the PICA was preserved. Conclusion: Early diagnosis and treatment of type V dAVF permit a better prognosis. There are several treatment options for dAVF. Embolization may be the treatment of choice and should be tried first because of its efficacy and safety. |
本系統中英文摘要資訊取自各篇刊載內容。