胸椎区域硬脊膜动静脉瘘1例并文献回顾
One Case of Spinal Dural Arteriovenous Fistula in the Thoracolumbar Region and Literature Review
摘要: 目的：探讨胸腰椎区域硬脊膜动静脉瘘(Spinal dural arteriovenous fistula, SDAVF)的发病机制、临床表现和治疗。方法：回顾1例胸椎区域SDAVF患者的诊治过程并进行文献回顾。结果：患者为55岁男性，以腰痛伴左下肢麻木为首发症状，随后出现行走困难，脊柱MRI的T2加权序列中显示脊髓高信号和髓周空流血管影，脊髓血管造影术确诊胸椎区域硬脊膜动静脉瘘。结论：SDAVF较为罕见，误诊率较高，晚期诊断容易使患者预后恶化，因此，及早的诊断与干预变得尤为关键。
Abstract: Objective: To investigate the pathogenesis, clinical manifestations, and treatment of spinal dural arteriovenous fistula (SDAVF) in the thoracolumbar region. Method: A retrospective review of the diagnosis and treatment process of a patient with thoracic spinal dural arteriovenous fistula (SDAVF) and a literature review. Results: The patient, a 55-year-old male, presented with initial symptoms of lower back pain accompanied by numbness in the left lower limb, followed by walking difficulties. In the T2-weighted sequence of the spinal MRI, high signal intensity in the spinal cord and a vascular flow void around the spinal cord were observed. The diagnosis of spinal dural arteriovenous fistula in the thoracic region was confirmed by spinal cord vascular angiography. Conclusion: SDAVF is relatively rare, with a high misdiagnosis rate. Late diagnosis can easily lead to worsening prognosis for patients. Therefore, early diagnosis and intervention are particularly critical.
文章引用：左旗旗, 闫亚军, 秦旭秋. 胸椎区域硬脊膜动静脉瘘1例并文献回顾[J]. 临床医学进展, 2024, 14(12): 203-207. https://doi.org/10.12677/acm.2024.14123066

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