内镜下第三脑室造瘘术治疗脑积水合并硬脑膜动静脉瘘1例并文献复习

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2025-01-11 DOI:10.1007/s00701-024-06418-y

Daisuke Wajima, Tomoya Kamide, Yasuo Sasagawa, Sho Takata, Kouichi Misaki, Mitsutoshi Nakada

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引用次数: 0

摘要

男，54岁，步态障碍，尿失禁，头痛6个月。头部计算机断层显示在四叉肌池有几个高密度肿块，导致闭塞性脑积水。数字减影血管造影证实小脑膜动静脉瘘（AVF）。经动脉栓塞（TAE）获得了完全的血管造影分辨率。然而，急性闭塞性脑积水恶化，需要内镜下第三脑室造口术（ETV）。出院时无新症状，随访6个月无脑积水复发。脑积水在硬脑膜AVF患者中是罕见的，大多数治疗后自行消退；然而，如果治疗后静脉曲张形成和扩大，急性闭塞性脑积水可发展。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Endoscopic third ventriculostomy for hydrocephalus accompanied by dural arteriovenous fistulae: a case report and literature review

A 54-year-old man presented with gait disturbances, urinary incontinence, and headache for 6 months. Head computed tomography indicated several high-density mass lesions in the quadrigeminal cistern, causing occlusive hydrocephalus. Digital subtraction angiography confirmed tentorial dural arteriovenous fistulae (AVF). Transarterial embolization (TAE) achieved complete angiographic resolution. However, acute occlusive hydrocephalus worsened, necessitating endoscopic third ventriculostomy (ETV). The patient was discharged without new symptoms and no hydrocephalus recurrence at six-month follow-up. Hydrocephalus is rare in patients with dural AVF and mostly resolves spontaneously after treatment; however, if thrombosis and enlargement of the varix occur after treatment, acute occlusive hydrocephalus can develop.

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来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.