硬脊膜动静脉瘘3例报告并文献复习  

Report of 3 Cases of Spinal Dural Arteriovenous Fistulas and Literature Review

作　　者：刘丽[1] 刘洪波[1] 史杰婧[1] 刘沛东[2] 

机构地区：[1]郑州大学第一附属医院神经内科,河南郑州450000 [2]郑州大学基础医学院,河南郑州450000

出　　处：《医学与哲学（B）》2013年第1期56-57,60,共3页Medicine & Philosophy(B)

摘　　要：探讨硬脊膜动静脉瘘的发病机制、临床表现、诊断、治疗及预后,提高对本病的认识,减少误诊。采用回顾性研究,报道3例硬脊膜动静脉瘘患者的临床表现,诊疗经过及预后。3例患者均为中老年男性,起病隐袭,主要表现为进行性的运动、感觉及括约肌功能障碍。MRI提示病变脊髓增粗,髓内异常信号,髓周可见血管流空影,经脊髓血管造影确诊,行介入血管内栓塞术或外科手术治疗,预后较好。脊髓血管造影检查是诊断硬脊膜动静脉瘘的金标准。早期诊断、早期治疗是本病预后较好的关键。To improve our understanding and decrease misdiagnosis of this disease by discussing of the pathogenesis, clinical presentation, diagnosis, management and prognosis of spinal dural arteriovenous fistulas （SDAVF）. The data of the clini- cal presentation, treatment and prognosis of the three patients with SDAVF were studied retrospectively. Three male--pa- tients are middle--aged and elderly. They had an insidious onset whose main clinical manifestations are the progressive dis- order of movement, sensory and sphincter. Spinal cord MRI showed that lesion of the spinal cord were enlargement, intr- amedullary visible abnormal signal, marrow weeks visible vascular empty shadow, the latter confirmed by spinal Digital Subtraction Angiography （DSA）, give intravascular embolization or surgical treatment, and the prognosis is good. DSA is the gold standard for diagnosis of this disease. Early diagnosis and early treatment are key to a better prognosis of the dis- ease.

关 键 词：硬脊膜动静脉瘘 脊髓血管畸形 发病机制 诊断 治疗 预后 

分 类 号：R743.4[医药卫生—神经病学与精神病学]