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首页> 外文期刊>Neurosurgical focus >Microsurgical obliteration of a thoracic spinal perimedullary arteriovenous fistula
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Microsurgical obliteration of a thoracic spinal perimedullary arteriovenous fistula

机译：胸椎脊髓周围动静脉瘘的显微外科手术消融

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摘要

Spinal vascular lesions are rare and may be classified as a) dural arteriovenous fistulas (AVFs), b) arteriovenous malformations, or c) perimedullary AVFs. In this narrated video illustration, we present the case of a 71-year-old woman who presented with progressive bilateral lower extremity weakness and urinary retention who was diagnosed with a thoracic spinal perimedullary arteriovenous fistula. The diagnostic studies included a thoracic MRI and spinal angiogram. A multilevel thoracic laminoplasty was performed for microsurgical obliteration of the AVF. The techniques of intraoperative angiography, thoracic laminoplasty and microsurgical obliteration and resection of the AVF are reviewed.
机译：脊柱血管病变很少见，可分为a）硬脑膜动静脉瘘（b），b）动静脉畸形或c）髓周AVF。在这个旁白的视频插图中，我们介绍了一个71岁的妇女，该妇女表现出进行性双侧下肢无力和尿retention留，并被诊断出患有胸椎脊髓周围动静脉瘘。诊断研究包括胸部MRI和脊柱血管造影。进行了多级胸腔椎板成形术，以完成AVF的显微外科手术。回顾了术中血管造影，胸椎椎体成形术和显微外科手术闭塞和AVF切除术的技术。

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