摘要
本文报告6例脑静脉畸形(静脉血管瘤),表现为癫痫,出血,肢体活动障碍和颜面部血管瘤。数字减影血管造影(DSA)特征为脑深部髓静脉扩张,呈伞状汇聚于一条粗大静脉,向表浅或深部引流。经颅多普勒超声发现2例有动脉低灌流。1例(出血者)予以病灶切除,余保守治疗。我们结合文献对该病的发生学、临床意义和治疗原则进行了探讨。
Six cases of cerebral venous malformations (ven-nous angiomas) are reported. The clinical manifes-tations were seizures, hemorrhage, hemiplegia andfacial angioma. On angiography, the lesions werecharacterized by confluent large medullary veins witha 'medusalike' pattern. draining superficially or deep-ly by one dilated vein. Transcranial Doppler sonog-raphy disclosed arterial hypoperfusion in two cases.One patient who had hemorrhage underwent excisionof the malformation and the others were given con-servative treatment. The etiology, clinical signifi-cance and management of the disease are quite con-troversial. The authors review the literature and di-scuss the problems.
出处
《中华神经外科杂志》
CSCD
北大核心
1992年第3期165-167,T009,共4页
Chinese Journal of Neurosurgery
