硬脑膜动静脉瘘一例  

Dural arteriovenous fistulas:a case report

作　　者：贾砚秋[1] 贾彩云[1] 田瑞振[1] 崔文柱[1] 李玲[1] 吕佩源[1] 

机构地区：[1]河北省人民医院神经内科,石家庄050051

出　　处：《脑与神经疾病杂志》2013年第5期384-386,共3页Journal of Brain and Nervous Diseases

摘　　要：目的增进对硬脑膜动静脉瘘(DAVF)临床表现、发病机制的认识。方法并分析一例DAVF患者的临床资料。结果本例患者的临床表现主要为左眼视物模糊及阵发性黑矇,MRA及DSA提示右侧窦区(横窦-乙状窦交界处)DAVF,右侧横窦-乙状窦交界处闭塞,DSA显示左侧横窦-乙状窦交界处局限性狭窄。结论 DAVF的临床表现多样且不特异,对于不明原因出现视力障碍、尤其是单眼视力障碍伴视乳头水肿、眼底出血等情况,甚至伴有搏动性耳鸣等症状,应高度注意是否存在DAVF。Objective To improve the comprehension of the clinical manifestations and pathogenesis of dural arteriovenous fistulas （DAVF）.Methods The clinical data of one DAVF patient were reported and analyzed.Results The main clinical manifestations of the patient were blurred vision of the left eye and paroxysmal amaurosis.MRA and DSA revealed DAVF and occlution at the junction of transverse sinus and sigmoid sinus on the right side.DSA showed localized stenosis on the left side at the junction of transverse sinus and sigmoid sinus.Conclusion As the clinical manifestations of DAVF are various and unspecific,it should be paid high attention to the existence of DAVF if there are vision disorders,especially unilaterally,with papilledema,fundus oculi hemorrhage,even with pulsatile tinnitus symptoms.

关 键 词：硬脑膜动静脉瘘 视力障碍 病例报告 

分 类 号：R739.4[医药卫生—肿瘤]