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| 容易漏诊的硬脑膜动静脉瘘临床特点分析 | |
| 引用本文： | 叶强,郑荣远,邵蓓,周成业,钟鸣,谭显西,程建华,叶祖森,杨学志,王虹,李则群,郑匡. 容易漏诊的硬脑膜动静脉瘘临床特点分析[J]. 中华神经创伤外科电子杂志, 2015, 1(5): 17-20. DOI: 10.3877/cma.j.issn.2095-9141.2015.05.005 |
| 作者姓名： | 叶强 郑荣远 邵蓓 周成业 钟鸣 谭显西 程建华 叶祖森 杨学志 王虹 李则群 郑匡 |
| 作者单位： | 1. 325000 温州，温州医科大学附属第一医院神经内科2. 325000 温州，温州医科大学附属第一医院神经外科 |
| 摘 要： | 目的提高对容易漏诊的硬脑膜动静脉瘘(DAVF)的诊断水平。 方法回顾性总结2008年1月至2014年5月在温州医科大学附属第一医院神经内科收治的6例DAVF患者，临床表现不典型、容易漏诊的DAVF的临床资料，结合既往文献，进行分析。 结果6例患者主要临床表现：1例表现为长期头痛伴脑鸣，1例表现为双下肢乏力伴头痛，1例表现为三叉神经痛，2例表现为视力下降，1例长期头痛。2例患者头颅MRV提示血栓形成，1例患者MR平扫提示左侧桥小脑角异常血管团形成。6例病例诊断初期均忽略了DAVF。 结论DAVF临床上相对少见，临床表现多变，缺乏特异性，容易导致漏诊，临床医师在临床工作中应增加对该病的认识。 |
| 关 键 词： | 硬脑膜动静脉瘘 漏诊 头痛 |
| 收稿时间： | 2015-03-28 |
Clinical features of dural arteriovenous fistula with easily missed diagnosis |
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| Qiang Ye,Rongyuan Zheng,Bei Shao,Chengye Zhou,Ming Zhong,Xianxi Tan,Jianhua Cheng,Zusen Ye,Xuezhi Yang,Hong Wang,Zequn Li,Kuang Zheng. Clinical features of dural arteriovenous fistula with easily missed diagnosis[J]. Chinese Journal of Neurotraumatic Surgery, 2015, 1(5): 17-20. DOI: 10.3877/cma.j.issn.2095-9141.2015.05.005 | |
| Authors: | Qiang Ye Rongyuan Zheng Bei Shao Chengye Zhou Ming Zhong Xianxi Tan Jianhua Cheng Zusen Ye Xuezhi Yang Hong Wang Zequn Li Kuang Zheng |
| Affiliation: | 1. Department of Neurology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China2. Department of Neurosurgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China |
| Abstract: | ObjectiveTo improve the diagnostic capability of dural arteriovenous fistula (DAVF) which easily leads to missed diagnosis. MethodsThe clinical information of 6 cases of DAVF from January 2008 to May 2014 in our hospital was summarized retrospectively, and analyzed with a literature review. ResultsThe main clinical manifestations of 6 cases were: 1 cases presenting with prolonged headaches and tinnitus cerebri; 1 case presenting with weakness of lower limbs and headache; 1 case presenting with trigeminal neuralgia; 2 case presenting with impaired vision; 1 case presenting with prolonged headaches. MRV of 2 case showed cerebral venous sinus thrombosis, MR scan of 1 case revealed abnormal vascular mass of cerebellopontine. Early diagnosis of 6 cases are all omitted from DAVF. ConclusionsRelative rarity of DAVF and the variousness of its clinical manifestations may lead to missed diagnosis; The clinicians should increase awareness of the disease in clinical work. |
| Keywords: | Dural arteriovenous malformation Missed diagnosis Headache |
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