颅颈交界区硬脊膜动静脉瘘的诊治:附2例报道并文献复习  

Diagnosis and treatment of spinal dural arteriovenous fistulas at the craniocervical junction:two case reports and literature review

作　　者：安学锋 王翼 秦杰 黄河 杨铭 马廉亭 AN Xue-feng;WANG Yi;QIN Jie;HUANG He;YANG Ming;MA Lian-ting(Department of Neurosurgery,General Hospital of Central Command,PLA,Wuhan 430070,China)

机构地区：[1]中国人民解放军中部战区总医院神经外科,武汉430070

出　　处：《中国临床神经外科杂志》2024年第11期660-664,共5页Chinese Journal of Clinical Neurosurgery

摘　　要：目的 探讨颅颈交界区硬脊膜动静脉瘘的诊断和治疗。方法 回顾性分析2例颅颈交界区硬脊膜动静脉瘘的临床资料,对其诊断、治疗方案及结果进行分析,并结合相关文献进行总结。结果 2例均行选择性脑脊髓动脉造影术确诊,均行显微手术成功灼闭瘘口,术后感觉障碍减轻、四肢肌力及大小便功能正常。结论 选择性脑脊髓动脉造影术是诊断颅颈交界区硬脊膜动静脉瘘的金标准,手术灼闭瘘口是治疗颅颈交界区硬脊膜动静脉瘘的有效治疗方案。Objective To explore the diagnostic and therapeutic methods for spinal dural arteriovenous fistulas(SDAVFs)at the cranio-cervical junction.Methods The clinical data of two patients with SDAVFs at the cranio-cervical junction were retrospectively analyzed.The diagnosis,treatment plans,and outcomes were elaborated in detail,and a summary was made in combination with the relevant literature.Results Both patients were diagnosed by selective cerebral and spinal angiography and successfully underwent microsurgical cauterization of the fistula.Postoperatively,their symptoms improved significantly,sensory disturbances were mitigated,and muscle strength in the limbs as well as bladder and bowel functions returned to normal.Conclusion Selective cerebral and spinal angiography is the gold standard for diagnosing SDAVFs at the cranio-cervical junction,and microsurgical cauterization of the fistula is an effective treatment approach.

关 键 词：硬脊膜动静脉瘘 颅颈交界区 选择性脑脊髓动脉造影 显微手术 

分 类 号：R743[医药卫生—神经病学与精神病学] R651.12[医药卫生—临床医学]