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颅内静脉窦血栓形成后硬脑膜动静脉瘘(附5例报告)
引用本文:张小军,李昌华,王守森,王如密.颅内静脉窦血栓形成后硬脑膜动静脉瘘(附5例报告)[J].中国临床神经外科杂志,2010,15(8):449-452.
作者姓名:张小军  李昌华  王守森  王如密
作者单位:南京军区福州总医院神经外科,福州,350025
基金项目:福建省科技重点项目Ⅰ 
摘    要:目的探讨硬脑膜动静脉瘘(DAVF)与静脉窦血栓形成发生的关系,以及其临床表现和治疗方法。方法回顾性分析2005年9月至2009年8月收治的5例继发于或伴发颅内静脉窦血栓形成的DAVF患者的临床资料。结果 5例患者中,3例表现为颅内出血,2例表现为突眼和结膜红肿。3例经开颅手术及1例经血管内介入栓塞治疗,术后均恢复良好;另1例未行外科处理,神经功能障碍呈进行性加重。结论静脉窦血栓形成可继发DAVF,但部分患者先期难以明确静脉窦血栓形成,而表现为DAVF伴静脉窦血栓性闭塞;颅内静脉窦血栓形成后继发的DAVF易发生颅内出血,应积极行血管内栓塞或开颅手术治疗。

关 键 词:硬脑膜动静脉瘘  静脉窦  血栓形成  开颅手术  血管内栓塞

Dural arteriovenous fistulas developed after intracranial venous sinus thrombosis(a report of 5 cases)
ZHANG Xiao-jun,LI Chang-hua,WANG Shou-sen,WANG Ru-mi.Dural arteriovenous fistulas developed after intracranial venous sinus thrombosis(a report of 5 cases)[J].Chinese Journal of Clinical Neurosurgery,2010,15(8):449-452.
Authors:ZHANG Xiao-jun  LI Chang-hua  WANG Shou-sen  WANG Ru-mi
Institution:ZHANG Xiao-jun,LI Chang-hua,WANG Shou-sen,WANG Ru-mi. Department of Neurosurgery,Fuzhou General Hospital,Nanjing Command,PLA,Fuzhou 350025,China
Abstract:Objective To investigate the relationship between intracranial venous sinus thrombosis(IVST) and the development of dural arteriovenous fistula (DAVF), and the clinical manifestation and treatment of the DAVF. Method The clinical data of 5 patients with DAVF developed after IVST who were treated in our hospital from September, 2005 to August, 2009 were analysed retrospectively, including the neurologic imaging data, clinical manifestation and therapeutic strategies and so on. Results Of 5 patients with DAVF...
Keywords:Dural arteriovenous fistula  Venous sinus  Thrombosis  Craniotomy  Endovascular embolization  
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