• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The neurologist. >Recurrent Syncope Caused by a Dural Arteriovenous Fistula
【24h】

Recurrent Syncope Caused by a Dural Arteriovenous Fistula

机译：多云动静脉瘘引起的复发性晕厥

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: Dural arteriovenous fistulas (DAVFs) are pathologic vascular connections that shunt dural arterial flow directly to dural venous drainage. Only a few isolated case reports describe syncope on presentation. We report the first case of DAVF causing recurrent, progressive syncope in an otherwise asymptomatic patient. Case Report: A female in her late 20s presented with a 9-year history of syncopal episodes and was found to have a DAVF. Syncopal episodes were exacerbated by positional changes, strenuous activity and emotional stressors. Symptoms occurred upon wakening and lasted for 2 to 3 hours before she was able to regain functionality. Physical examination revealed no abnormalities. Magnetic resonance imaging of the brain showed no irregularities. Magnetic resonance angiography revealed abnormal serpiginous structures in the left jugular foramen which communicated with the ascending pharyngeal branch of the left external carotid artery. Cerebral angiogram disclosed a left jugular bulb DAVF supplied by the left ascending pharyngeal and left occipital arteries. The DAVF was successfully managed by progressive endovascular embolization with coils and Onyx 34. On clinical follow-up evaluation, the patient had no further episodes of dizziness or syncope. Conclusion: We present an atypical case of DAVF in a patient presenting with recurrent syncope. Only 4 cases of DAVF causing syncope have been reported, all in combination with other neurological symptoms. In comparison, we report a unique case of DAVF presenting solely with recurrent syncope, a previously undocumented finding in the literature. Our case adds to other reports of nonspecific DAVF presentations and highlights the importance of considering this etiology.
机译：背景：硬脑膜动静脉瘘（DAVF）是将硬脑膜动脉流直接分流至硬脑膜静脉引流的病理性血管连接。只有少数孤立病例报告描述出现晕厥。我们报告了第一例DAVF导致无症状患者反复进行性晕厥的病例。病例报告：一名20多岁的女性有9年的切分音发作史，被发现患有DAVF。切分音发作因体位改变、剧烈活动和情绪压力而加剧。症状出现在醒来时，持续2至3小时后，她才能恢复功能。体检未发现异常。脑部磁共振成像显示没有异常。磁共振血管造影显示左颈静脉孔内有异常的蛇行结构，与左颈外动脉的咽升支相连。脑血管造影显示左颈静脉球由左咽升动脉和左枕动脉供血。通过使用弹簧圈和Onyx 34进行血管内栓塞，成功地治疗了DAVF。在临床随访评估中，患者没有进一步出现头晕或晕厥。结论：我们报告一例复发性晕厥患者的非典型DAVF。只有4例DAVF引起晕厥的病例被报道，所有病例都伴有其他神经症状。相比之下，我们报告了一个独特的DAVF病例，仅表现为复发性晕厥，这是文献中以前未记录的发现。我们的病例补充了其他关于非特异性DAVF表现的报道，并强调了考虑这一病因的重要性。

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