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首页> 外文期刊>Neurosurgery clinics of North America >Clinical syndromes, natural history, and pathophysiology of vascular lesions of the spinal cord.
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Clinical syndromes, natural history, and pathophysiology of vascular lesions of the spinal cord.

机译:脊髓血管病变的临床综合征,自然病史和病理生理学。

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摘要

With superselective angiography and careful clinical evaluation, dural fistulas were found to be the most important and most frequent origin of spinal arteriovenous malformations. Diagnosis may not be made for months or years, however, because dural fistulas never bleed and clinical deterioration is slow. Therapy with interventional techniques or microsurgery is relatively safe. Perimedullary fistulas and intramedullary angiomas mostly deteriorate quickly because of hemodynamic or hemorrhagic problems. Close teamwork of interventionalists and neurosurgeons is mandatory.
机译:通过超选择性血管造影和仔细的临床评估,发现硬膜瘘是脊柱动静脉畸形最重要和最常见的起源。但是,由于硬脑膜瘘从未流血并且临床恶化缓慢,因此可能无法进行数月或数年的诊断。介入技术或显微外科手术的治疗相对安全。由于血液动力学或出血性问题,髓周瘘管和髓内血管瘤大多迅速恶化。干预人员和神经外科医生必须紧密合作。

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