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治疗脑动静脉畸形(AVM),手术切除是最彻底而有效的方法,但是对功能区、脑深部的巨大AVM,手术切除危险大,多易造成严重的脑功能障碍。本文报告一例右额颞深部大脑中动脉水平段(M_(1～2))的巨大AVM,采用人工栓塞术获得成功。患者,男、15岁。于85年10月9日在劳动中突感剧烈全头痛、呕吐,随即昏迷,腰穿脑脊液为血性。按蛛网膜下腔出血治疗,次日清醒,二周后好转出院。同年12月29日上体育课时,头部被兰球击中,出现右前额、眼眶剧烈疼痛,自诉颅内有轰鸣样响声。一周后,右侧颈动脉造影发现右额颞底部有一
The treatment of cerebral arteriovenous malformations (AVM), surgical resection is the most thorough and effective method, but the functional area, deep brain huge AVM, surgical removal of a large danger, and more likely to cause serious brain dysfunction. This article reports a huge AVM in the right middle frontal deep middle cerebral artery (M_ (1 ~ 2)), which is successfully treated with artificial embolization. Patient, male, 15 years old. On October 9, 85 in the labor sudden intense headache, vomiting, then coma, lumbar puncture cerebrospinal fluid is bloody. By subarachnoid hemorrhage treatment, awake the next day, improved after two weeks was discharged. December 29 the same year, physical education class, the head was hit by the blue ball, there right forehead, severe orbital pain, private prosecution of intracranial rumble-like sound. A week later, the right carotid artery angiography found one at the right frontotemporal base