脑膜脑动静脉畸形的诊断和治疗

目的　分析脑膜脑动静脉畸形血管结构学特征 ,探讨其血管结构与临床诊治之间的联系。方法　对 5 2例脑膜脑动静脉畸形患者的DSA全脑血管造影检查结果及治疗方法进行回顾性分析。结果　 5 2例脑膜脑动静脉畸形病人全部应用微导管插管技术行血管内栓塞治疗。栓塞后行手术切除AVM者 2例 ,行γ 刀治疗 3例 ,均治愈。治疗后临床症状消失 ,完全恢复正常生活工作 17例 ,癫痫或头痛等症状明显好转 16例。结论　血管结构学研究对脑膜脑动静脉畸形的临床诊治有非常重要的指导意义。

THE DIAGNOSIS AND ENDOVASCULAR TREATMENT FOR THE INTRACRANIAL DURAL AND CEREBRAL ARTERIOVENOUS MALFORMATIONS

Objective To study the angiographic characteristics of congenital intracranial dural and cerebral arteriovenous malformations, and their relationship to the structural characteristics and clinical feature. Methods The clinical histories, cerebral angiograms, and endovascular treatment of 52 cases of the dural and cerebral arteriovenous malformations were analyzed. Results All 52 patients were treated successfully with interventional therapy with introduction of intravascular emboli through microcatheters. In 2 patients, surgical excision was performed after embolism. In another 4 patients, X-ray knife treatment was carried out. Seventeen patients resumed their work, comprising 44.7% of all patients, and in 16 patients symptoms of epilepsy or head ache were markely improved, comprising 42.1% of the group. Conclusion It is important to study structural characteristics with angiograms for successful treatment of congenital artero-venous anomalies of the brain. [HS(1*2/3]