青年脊髓硬脊膜动静脉瘘1例并文献复习  

Spinal dural arteriovenous fistula in young:A case report and literature review

作　　者：季万里 马周 石郁喜 孙为生 Ji Wanli;Ma Zhou;Shi Yuxi;Sun Weisheng(Department of Neurology,Suqian Zhongwu Hospital,Suqian 223800,China)

机构地区：[1]宿迁市钟吾医院神经内科,江苏宿迁223800

出　　处：《临床荟萃》2025年第3期262-265,共4页Clinical Focus

摘　　要：目的探讨脊髓硬脊膜动静脉瘘(spinal dural arteriovenous fistula,SDAVF)发病机制、临床表现及影像学特点,提高对该疾病的认识。方法查阅相关文献,分析1例青年SDAVF患者的诊疗过程。结果青年男性患者,以双下肢无力、感觉异常起病,进行性加重,脊髓核磁可见条状长T2信号,脊髓血管造影显示右侧T12、左侧T10、左侧L1节段可见硬脊膜动静脉瘘。结论SDAVF为临床罕见病,脊髓血管造影是诊断的金标准,该病确诊以后应尽早手术治疗。Objective To explore the pathogenesis,clinical manifestations,and imaging characteristics of spinal dural arteriovenous fistula(SDAVF)in young and improve the understanding of the disease.Methods The relevant literature was reviewed to assess the diagnosis and treatment process of a young patient with SDAVF.Results In the young male patient,the disease started with weakness and abnormal sensation in both lower extremities,which gradually worsened.Striped long T2 signals can be seen by spinal cord Magnetic resonance imaging(MRI)and the spinal angiography showed the presence of SDAVF at the right T12,left T10,and left L1 segmentations of spinal cord.Conclusion SDAVF is a clinically rare disease.Spinal angiography is the gold standard for diagnosis and surgical treatment should be performed as soon as possible after diagnosis.

关 键 词：中枢神经系统血管畸形 磁共振成像 血管造影术 诊断 

分 类 号：R741[医药卫生—神经病学与精神病学]