颅内硬脑膜动静脉瘘的影像学.pdfVIP

国际脑血管病杂志2015年3月第23卷第3期　 Int J Cerebrovasc Dis, March 2015, Vol. 23, No. 3 ·217 · ·综述 · 颅内硬脑膜动静脉瘘的影像学 王玉洁 　 　 【摘要】　 颅内硬脑膜动静脉瘘占颅内动静脉畸形的10% ~15%,可引起颅内出血或其他神经功 能缺损,但其临床表现缺乏特异性,CT 和MRI 改变不典型,易被忽视而漏诊或延误诊断。 临床医生 对该病的认识和高分辨率影像学检查对快速准确诊断很关键,及时治疗可防止死亡或残疾。 文章对 相关文献进行了综述,以提高对硬脑膜动静脉瘘的认识,尽早明确诊断并予以恰当的治疗。 　 　 【关键词】　 颅内动静脉畸形;硬膜;体层摄影术,X 线计算机;磁共振成像;磁共振血管造影术; 脑血管造影术;血管造影术,数字减影 Imaging of intracranial dural arteriovenous fistula WANG Yujie Dep artment of Neurology, Liaoning Provincial Peop le s Hospital, Shenyang 110016, China Corresp onding author : WANG Yuj ie, Email: w angyuj ie196508@ 163.com 　 　 【Abstract 】　 Intracranial dural arteriovenous fistula accounts for 10% to 15% of intracranial arteriovenous malformations. It may cause intracranial hemorrhage or other neurological deficits, but its clinical manifestations are lack of specific , the changes of CT and MRI are not typical, and it is easily to be ignored and missed or delayed. Clinicians aw areness of the disease and the high resolution imaging examinations are critical for rapid and accurate diagnosis. Timely treatment may prevent death or disability. This article review s the relevant literature in order to improve the understanding of intracranial dural arteriovenous fistula, to be diagnosed early and treated appropriately. 　 　 【Key w ords 】　 Intracranial Arteriovenous Malformations; Dura Mater ; Tomography, X-Ray Computed; Magnetic Resonance Imaging; Magnetic Resonance Angiography; Cerebral Angiography; Angiography, Digital Subtraction 　 　 Sacha 于 1931 年首先描述了硬脑膜动静脉瘘 具体情况,主要采用血管内栓塞、手术和立体定向放 (dural arteriovenous fistulas, DAVF ),它是指硬脑膜 [5 ] 射治疗,及时治疗可防止死亡或残疾发生 。 临床 及其附属结构的动静脉异常交通,主要由硬脑膜动 医生对该病的认识和高分辨率