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首页> 外文期刊>Neurosurgical focus >Intracranial hemorrhage from dural arteriovenous fistulas: Clinical features and outcome
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Intracranial hemorrhage from dural arteriovenous fistulas: Clinical features and outcome

机译：多云动脉瘘颅内出血：临床特征和结果

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Object. In this paper the authors' goal was to review the clinical features and outcome of patients with intracranial dural arteriovenous fistulas (DAVFs) who presented withhemorrhage. Methods. A retrospective study of 28 patients with DAVFs who presented with intracranial hemorrhage to 2 separate institutions was performed. The information reviewedincluded clinical presentation, location and size of hemorrhage, angiographic features, treatment, and clinical and radiologically documented outcomes. Clinical and radiological follow-up were available in 27 of 28 patients (mean follow-up 17 months). Results. The vast majority of patients were male (86%), and the most common presenting symptom was suddenonset headache. All DAVFs had cortical venous drainage, and about one-third were associated with a venous varix. The most common location was tentorial (75%). Treatment ranged from endovascular (71%), surgical (43%), Gamma Knife surgery (4%), or a combination of modalities. The majority of fistulas (75%) were completely obliterated, and most patients experienced excellent clinical outcome (71%, modified Rankin Scale score of 0 or 1). There were no complications in this series. Conclusions. Case series, including the current one, suggest that the vast majority of patients who present with intracranial hemorrhage from a DAVF are male. The most common location for DAVFs presenting with hemorrhage is tentorial. Excellent outcomes are achieved with individualized treatment, which includes various therapeutic strategies alone or in combination. Despite the hemorrhagic presentation, almost two-thirds of patients experience a full recovery with no or minimal residual symptoms.
机译：目的。在本文中，作者的目标是审查患有出血的颅内无核动静脉瘘（DAVFS）患者的临床特征和结果。方法。对28例患有颅内出血的DAVF患者进行回顾性研究，进行了两项单独的机构。该信息审查了出血，出血，血管造影特征，治疗和临床和放射记录的结果的临床介绍，位置和大小。有28例患者的27例（平均随访17个月）提供临床和放射性随访。结果。绝大多数患者是雄性（86％），最常见的呈现症状是头痛。所有DAVFS都有皮质静脉排水，大约三分之一与静脉VARIX相关。最常见的位置是叛徒（75％）。治疗范围从血管内（71％），外科手术（43％），γ刀手术（4％）或方式的组合。大多数瘘管（75％）被完全灭绝，大多数患者经历了出色的临床结果（71％，改进的Rankin Scale评分为0或1）。这个系列没有并发症。结论。案例系列包括当前的案例系列，表明绝大多数患有从DAVF的颅内出血的患者都是男性。患有出血的DAVFS最常见的位置是叛徒。通过个性化治疗实现了优异的结果，其包括单独或组合的各种治疗策略。尽管出血介绍，但近三分之二的患者患有无或最小症状的全面恢复。

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