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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：硬脑膜动静脉瘘的颅内出血：临床特征和结局

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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，作者的目的是审查伴有出血的颅内硬脑膜动静脉瘘（DAVF）患者的临床特征和预后。方法。进行了一项回顾性研究，对28例DAVF患者进行了颅内出血，并分别向2个独立机构进行了回顾性研究。审查的信息包括临床表现，出血的部位和大小，血管造影特征，治疗以及临床和放射学记录的结果。 28位患者中有27位接受了临床和放射学随访（平均随访17个月）。结果。绝大多数患者是男性（86％），最常见的症状是突发性头痛。所有DAVF都有皮质静脉引流，约三分之一与静脉曲张有关。最常见的位置是租期（75％）。治疗范围包括血管内（71％），外科手术（43％），伽玛刀手术（4％）或多种形式的组合。大多数瘘管（75％）被完全消除，大多数患者的临床结局都很好（71％，改良的兰金量表评分为0或1）。这个系列没有并发症。结论病例系列（包括当前病例）表明，患有DAVF颅内出血的绝大多数患者均为男性。伴有出血的DAVF的最常见位置是腱膜。个性化治疗可实现出色的治疗效果，其中包括单独或组合使用各种治疗策略。尽管出现了出血现象，但几乎三分之二的患者完全康复，没有或仅有很少的残留症状。

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