[1]安学锋,王翼,秦杰,等.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[J].中国临床神经外科杂志,2024,29(11):660-664.[doi:10.13798/j.issn.1009-153X.2024.11.005]
 AN Xue-feng,WANG Yi,QIN Jie,et al.Diagnosis and treatment of spinal dural arteriovenous fistulas at the craniocervical junction: two case reports and literature review[J].,2024,29(11):660-664.[doi:10.13798/j.issn.1009-153X.2024.11.005]
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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()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
29
期数:
2024年11期
页码:
660-664
栏目:
论著
出版日期:
2024-11-30

文章信息/Info

Title:
Diagnosis and treatment of spinal dural arteriovenous fistulas at the craniocervical junction: two case reports and literature review
文章编号:
1009-153X(2024)11-0660-05
作者:
安学锋王翼秦杰黄河杨铭马廉亭
430070武汉,中国人民解放军中部战区总医院神经外科(安学锋、王翼、秦杰、黄河、杨铭、马廉亭)
Author(s):
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
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
Keywords:
Spinal dural arteriovenous fistula Craniocervical junction Selective cerebral and spinal angiography Surgery
分类号:
R 743; R 651.1+2
DOI:
10.13798/j.issn.1009-153X.2024.11.005
文献标志码:
A
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。
Abstract:
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.

参考文献/References:

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备注/Memo

备注/Memo:
(2023-11-19收稿,2024-10-25修回)
通信作者:黄 河, Email:hh403@qq.com
更新日期/Last Update: 2024-11-30