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首页> 外文期刊>Medicine. >Regression of a symptomatic varix after transarterial embolization of a brain arteriovenous malformation: A case report and literature review
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Regression of a symptomatic varix after transarterial embolization of a brain arteriovenous malformation: A case report and literature review

机译：脑动脉畸形常规后症状Varix的回归 - 案例报告与文献综述

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Rationale: Brain arteriovenous malformation (BAVM)-associated varix is always asymptomatic, and no special treatment is needed. However, there is no consensus regarding how to address a varix that has led to clinical manifestation. Patient concerns: An 11-year-old girl was admitted complaining of left hemiparesis for 4 days. She was previously healthy and denied any history of similar ictus. She was alert, and a physical examination performed upon admission was unremarkable except for the left hemiparesis. Diagnoses: Head magnetic resonance imaging (MRI) showed a linear and round flow void and perilesional edema in the region of the right basal ganglia, indicating a BAVM. Gadolinium-enhanced MRI showed peripheral enhancement of the round lesion. Computed tomography angiography (CTA) showed that the BAVM was fed by the ipsilateral posterior cerebral artery and anterior choroidal artery and drained into the vein of Galen. A large varix was also noted at the top of the BAVM and was consistent with the round flow void observed at the right basal ganglia on MRI. The Spetzler-Martin grading scale was grade IV Interventions: The patient experienced a TAE of the BAVM nidus with liquid embolic agent. Outcomes: A follow-up investigation showed regression of the varix , although there was still some residual BAVM. The patient experienced a favorable recovery. Lessons: In the case of a BAVM-associated symptomatic varix , if surgical resection cannot readily be performed, initial TAE of the BAVM nidus can be attempted.
机译：理由：脑动脉畸形畸形（BAVM） - 分配的Varix始终是无症状的，并且不需要特殊的处理。但是，对于如何处理导致临床表现的Varix，没有达成共识。患者的担忧：一名11岁的女孩被抱怨左偏瘫4天。她以前健康，否认了任何类似于ICTU的历史。除了左偏瘫之外，她被警觉，在入院时进行的体检是不起眼的。诊断：头部磁共振成像（MRI）在右基天甘细胞区域的区域显示线性和圆形流动和Perilesional水肿，表明BAVM。增洛尼鎓增强的MRI显示出圆形病变的外周增强。计算机断层造影血管造影（CTA）表明，双侧后脑动脉和前脉络膜动脉喂养BAVM，并排出胶林的静脉。在BAVM的顶部还注意到一个大型varix，并且与在MRI的右基天甘中观察到的圆形流动空隙一致。 Spetzler-Martin分级规模是IV级干预：患者经历了液体栓塞剂的BAVM NIDUS的TAE。结果：随访调查显示了Varix的回归，尽管仍然存在一些残留的巴伐普。患者经历了有利的康复。课程：在BAVM相关的症状Varix的情况下，如果不能容易地进行外科切除，可以尝试BAVM NIDU的初始TAE。

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