以丘脑性认知障碍起病的硬脑膜动静脉瘘诊疗现状  

The state of diagnosis and treatment for dural arteriovenous fistulas presenting with thalamic dementia

作　　者：苏新 马永杰[1] 纪祯龙 张鹏[1] Su Xin;Ma Yongjie;Ji Zhenlong;Zhang Peng(Department of Neurosurgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院神经外科,北京100053

出　　处：《中国脑血管病杂志》2024年第10期649-653,共5页Chinese Journal of Cerebrovascular Diseases

基　　金：国家自然科学基金(82101460);北京市医院管理中心创新梦工厂经费资助(202319)。

摘　　要：硬脑膜动静脉瘘(DAVF)是发生在硬脑膜及其附近组织结构上的动静脉间的直接交通。伴脑深部静脉引流的DAVF可能会出现双侧丘脑和基底节区的水肿,从而导致认知障碍、记忆力减退、帕金森综合征和意识障碍等。该文对以丘脑性认知障碍起病的DAVF临床特征、治疗方式及预后进行了总结,以期增进临床医师对这一亚型DAVF的认识,为诊断该类DAVF提供有益参考,进一步提高对此类患者的诊疗水平。Dural arteriovenous fistula(DAVF)refers to an abnormal direct communication between arteries and veins located within the dura mater and surrounding structures.DAVF with deep cerebral venous drainage may lead to bilateral thalamic and basal ganglia edema,resulting in symptoms such as cognitive impairment,memory loss,parkinsonism,and altered consciousness etc.This paper summarized the clinical characteristics,treatment strategies,and prognosis of DAVF presenting with cognitive impairment,aiming to enhance clinicians′understanding of this DAVF subtype.By providing valuable insights into the diagnosis of this condition,the article seeks to advance diagnostic and therapeutic standards for patients with this type of DAVF.

关 键 词：中枢神经系统血管畸形 硬脑膜动静脉瘘 脑深部静脉 丘脑病变 临床特征 

分 类 号：R743[医药卫生—神经病学与精神病学]