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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >A Case of Subcortical Hemorrhage in the Left Temporal Lobe Caused by Multiple Dural Arteriovenous Fistulas
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A Case of Subcortical Hemorrhage in the Left Temporal Lobe Caused by Multiple Dural Arteriovenous Fistulas

机译：多个多云动脉瘘引起的左颞叶中的皮质出血的情况

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摘要

Transverse sinus-sigmoid sinus (TS-SS) dural arteriovenous fistula (dAVF) is common type of dAVF, on the other hand, anterior condylar confluence (ACC) dAVF is relatively rare. There has been no report presenting patients with TS-SS dAVF and ACC dAVF identified simultaneously yet. We present a case of TS-SS dAVF and ACC dAVF that developed subcortical hemorrhage of left temporal lobe. A 66-year-old woman with no past history was transferred to our hospital for sudden-onset consciousness disturbance, and was urgently admitted after the detection of a subcortical hemorrhage in the left temporal lobe. We suspected a dAVF based on magnetic resonance angiography and performed digital subtraction angiography (DSA). DSA revealed that the left occipital artery, left ascending pharyngeal artery, left middle meningeal artery, left tentorial artery, and posterior meningeal artery flowed into the TS-SS and ACC. DSA also showed outflow from the TS-SS to the brain surface through the vein of Labbe and the vein of Trolard. We performed transvenous embolization to prevent re-bleeding, she was then discharged from our hospital and her remaining sensory aphasia gradually improved. In the present study, the active investigation to determine the cause of subcortical hemorrhage led to a definitive diagnosis. The combination of ACC dAVF and TS-SS dAVF has not been reported thus far and this is considered a valuable case.
机译：横窦乙状窦（TS-SS）硬脑膜动静脉瘘（dAVF）是dAVF的常见类型，而前髁融合（ACC）dAVF相对少见。目前还没有同时发现TS-SS dAVF和ACC dAVF患者的报告。我们报告一例TS-SS dAVF和ACC dAVF患者，其左颞叶皮质下出血。一名66岁女性，既往无病史，因突发意识障碍被转移到我院，在发现左颞叶皮质下出血后紧急入院。我们根据磁共振血管造影怀疑dAVF，并进行了数字减影血管造影（DSA）。DSA显示左侧枕动脉、左侧咽升动脉、左侧脑膜中动脉、左侧幕动脉和脑膜后动脉流入TS-SS和ACC。DSA还显示TS-SS通过Labbe静脉和Trolard静脉流出到脑表面。我们进行了静脉栓塞以防止再次出血，她随后出院，剩余的感觉性失语逐渐改善。在本研究中，确定皮质下出血原因的积极调查导致了明确的诊断。ACC-dAVF和TS-SS-dAVF的组合迄今尚未报道，这被认为是一个有价值的案例。

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