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首页> 外文期刊>Surgical neurology >Surgical resection of a cerebral arteriovenous malformation for treatment of superficial siderosis: case report.
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Surgical resection of a cerebral arteriovenous malformation for treatment of superficial siderosis: case report.

机译：外科切除脑动静脉畸形治疗浅表铁皮病：病例报告。

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BACKGROUND: To our knowledge, there are only two reported cases of cerebral arteriovenous malformation associated with superficial siderosis. In both cases, the patients were asymptomatic and were discovered on retrospective review of magnetic resonance imaging. CASE DESCRIPTION: We describe a case of superficial siderosis in a 47-year-old male with a remote history of closed head injury that presented with progressive hearing loss, cerebellar ataxia, and urinary incontinence. Lumbar puncture was indicative of active subarachnoid bleeding. Cerebral angiography revealed a small vascular malformation that was resected.RESULTS: Pathological examination confirmed the diagnosis of the arteriovenous malformation. Six months after surgery the patient is neurologically stable with no further progression of clinical signs or symptoms. CONCLUSIONS: We report the first case of surgical resection of an intracranial arteriovenous malformation for the treatment of superficial siderosis. We emphasize the necessity of a detailed evaluation when superficial siderosis is suspected to localize and resect potential bleeding sources, because the disease is progressive and often irreversible.
机译：背景：据我们所知，仅有两例脑动静脉畸形与浅表铁皮病相关的报道病例。在这两种情况下，患者均无症状，并在回顾性磁共振成像检查中发现。病例描述：我们描述了一例47岁男性浅表铁皮病，该病远距离为闭合性颅脑损伤史，表现为进行性听力丧失，小脑共济失调和尿失禁。腰穿提示活动性蛛网膜下腔出血。脑血管造影发现一小段血管畸形被切除。结果：病理检查证实了动静脉畸形的诊断。手术后六个月，患者神经系统稳定，没有临床体征或症状的进一步发展。结论：我们报告了第一例颅内动静脉畸形手术切除治疗浅表铁皮病的病例。我们强调，当怀疑表面浅层铁锈病可以定位和切除潜在的出血源时，必须进行详细评估，因为这种疾病是进行性疾病，而且通常是不可逆的。

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