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Dural arteriovenous fistula disguised as cerebral venous sinus thrombosis

类似脑静脉窦血栓的硬脑膜动静脉瘘病例分析

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摘 要

静脉窦血栓与硬脑膜动静脉瘘在临床症状及影像学表现上相似, 易混淆诊断, 但二者治疗方案不同, 区别二者具有重要的临床意义。本文详细分析了一例类似静脉窦血栓的硬脑膜动静脉瘘病例的临床症状、影像学表现及诊断和治疗(开颅硬脑膜动静脉瘘栓塞术), 并结合文献回顾, 总结二者诊治差别。在发病机制方面硬脑膜动静脉瘘与静脉窦血栓之间可能互为因果作用, 容易造成二者混淆。基于非数字减影血管造影检查诊断为“脑静脉窦血栓”的病例, 应进一步完善全脑动脉造影检查明确是否存在硬脑膜动静脉瘘, 特别是在颅脑磁敏感成像上提示存在静脉窦高信号影时更应该警惕。

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Authors and Affiliations

  1. Department of Neurology, China-Japan Friendship Hospital, Beijing, 100029, China

    Li-li Sun, Wen-xiong Tang, Lei Liu, Wei Wang & Zun-jing Liu

  2. Department of Neurosurgery, China-Japan Friendship Hospital, Beijing, 100029, China

    Si-xun Zhang

Authors
  1. Li-li Sun
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  2. Wen-xiong Tang
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  3. Lei Liu
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  4. Wei Wang
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  6. Zun-jing Liu
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Correspondence to Zun-jing Liu.

Additional information

Project supported by the National Natural Science Foundation of China (No. 81173595) and the China-Japan Friendship Hospital Youth Science and Technology Excellence Project (No. 2014-QNYC-A-04), China

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Sun, Ll., Tang, Wx., Liu, L. et al. Dural arteriovenous fistula disguised as cerebral venous sinus thrombosis. J. Zhejiang Univ. Sci. B 18, 733–736 (2017). https://doi.org/10.1631/jzus.B1600499

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