...
首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Spinal Dural Arteriovenous Fistula Assumed to be Symptomatic after Placement of Lumbar Cerebrospinal Fluid Drain
【24h】

Spinal Dural Arteriovenous Fistula Assumed to be Symptomatic after Placement of Lumbar Cerebrospinal Fluid Drain

机译:脊柱硬质动静脉瘘假设在腰部脑脊液流失后症状

获取原文
获取原文并翻译 | 示例
           

摘要

A 69-year-old man presented with severe headache. Cranial computed tomography revealed diffuse subarachnoid hemorrhage. An anterior communicating artery aneurysm was identified and successfully obliterated by open microsurgery on the same day. Following placement of a continuous lumbar cerebrospinal fluid drain on hospitalization day 7, the patient developed a severe paraplegia and sensory loss below 16. Cerebral magnetic resonance imaging did not identify a responsible lesion. Spinal magnetic resonance imaging, however, showed extensive intramedullary hyperintensity on T2-weighted sequences. Spinal angiography identified a dural arteriovenous fistula fed by the segmental artery branching with the 12th intercostal artery. It was successfully embolized and the patient's sensorimotor disturbances remarkably improved. A spinal dural arteriovenous fistula may better be considered as one of the underlying etiologies when patients exhibit new neurological deficits after placement of a continuous lumbar cerebrospinal fluid drain.
机译:一个69岁的男子患有严重的头痛。颅骨计算机断层扫描显示弥漫性蛛网膜下腔出血。在同一天发现并成功地通过开放显微外进行了通信动脉瘤。在住院期间展示连续腰部脑脊液排放后7日,患者在16例以下发生严重的截瘫和感官损失。脑磁共振成像未识别负责的病变。然而,脊柱磁共振成像在T2加权序列上显示出广泛的髓内超强度。脊柱血管造影鉴定了由第12次肋系齐的节段动脉分支喂养的多久动静脉瘘。它成功地栓化,患者的传感器扰动显着提高。当患者在放置连续腰椎间液排放后表现出新的神经缺陷时,脊椎多云动静脉瘘可能被认为是潜在的病因之一。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号