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| 容易误诊漏诊的硬脑膜动静脉瘘9例分析 | |
| 引用本文： | 廖焕权,王鸿轩,陈红兵,杨智云,王莹,贺涓涓,尚文锦,洪华.容易误诊漏诊的硬脑膜动静脉瘘9例分析[J].中风与神经疾病杂志,2011,28(4). |
| 作者姓名： | 廖焕权 王鸿轩 陈红兵 杨智云 王莹 贺涓涓 尚文锦 洪华 |
| 作者单位： | 1. 中山大学附属第一医院神经内科,广东,广州,510080 2. 中山大学附属第二医院神经内科,广东,广州,510120 3. 中山大学附属第一医院放射科科,广东,广州,510080 |
| 基金项目： | 国家自然科学基金资助项目，广东省自然科学基金资助项目，广东省科技计划项目，广州市科技计划项目，中山大学附属第一医院优秀青年人才支持计划项目 |
| 摘 要： | 目的 提高对容易误诊漏诊的硬脑膜动静脉瘘(dural arteriovenous fistula,DAVF)的诊断水平.方法 回顾性总结9例DAVF的临床资料,结合文献进行分析.结果 9例主要临床表现及误诊情况分别为:视朦或视力下降4例,无颅内高压症状,误诊为视神经炎、颅内结核感染或特发性颅内压增高;记忆力下降1例,误诊为病毒性脑炎;双下肢无力1例,误诊为急性脊髓炎、神经鞘瘤;反复头痛1例,误诊为偏头痛、特发性颅内压增高;反复抽搐1例,误诊为正常颅内压脑积水;饮水呛咳、吞咽困难1例,误诊为脑梗死.3例满足于静脉窦血栓的诊断而忽略了DAVF.所有病例影像学均漏诊,但如仔细观察仍可发现细微的血管形态改变,提示动静脉畸形.结论 DAVF临床表现缺乏特异性,加上临床及放射科医师对本病认识不足,诊断思路狭窄,造成本病误诊、漏诊率高. |
| 关 键 词： | 硬脑膜动静脉瘘 误诊 漏诊 |
Dural arteriovenous fistula with easily inaccurate or missed diagnosis: analysis of 9 cases |
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| LIAO Huan-Quan,WANG Hong-Xuan,CHEN Hong-Bing,et al..Dural arteriovenous fistula with easily inaccurate or missed diagnosis: analysis of 9 cases[J].Journal of Apoplexy and Nervous Diseases,2011,28(4). | |
| Authors: | LIAO Huan-Quan WANG Hong-Xuan CHEN Hong-Bing |
| Institution: | LIAO Huan-Quan,WANG Hong-Xuan,CHEN Hong-Bing,et al.(Department of Neurology,the First Affiliated Hospital,Sun Yat-Sen University,Guangzhou 510080,China) |
| Abstract: | Objective To improve the diagnostic capability of dural arteriovenous fistula(DAVF) which easily leads to inaccurate or missed diagnosis.Methods The clinical information of 9 cases of DAVF was summarized retrospectively,and analyzed with a literature review.Results The main clinical manifestations and misdiagnosis of 9 cases were: 4 cases presenting with only amaurosis fugax or vision loss without symptoms of increased intracranial pressure were misdiagnosed as optic neuritis,intracranial tuberculosis infec... |
| Keywords: | Dural arteriovenous malformation Inaccurate diagnosis Missed diagnosis |
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