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临床资料 男,36岁。反复癫痫发作7年,加重1个月。开始每年发作3～4次,均为大发作。未经系统抗癫痫治疗。近1个月内发作6次,伴有头胀痛,无恶心呕吐,头颅CT见前纵裂3×4cm~2高密度病灶,其右侧可见水肿带。经股动脉插管脑血管造影,见右侧大脑前动脉不显影,大脑中动脉行走正常。右侧颈外动脉造影见右侧额顶部硬脑膜血管异常增多变粗,呈网状,矢状窦过早显影。左侧颈内动脉造影,正位片左侧大脑前动脉3段弧形左移,远端可见双侧大脑前动脉显影;侧位片见左侧大脉前动脉3段下压,颈外动脉系统见与右侧相
Clinical data Male, 36 years old. Recurrent seizures for 7 years, increased 1 month. 3 to 4 episodes of onset each year, are major episodes. Without systematic antiepileptic treatment. Almost 6 months episodes within 6 months, accompanied by head pain, no nausea and vomiting, head CT see the anterior longitudinal cleft 3 × 4cm ~ 2 high-density lesions, the right side of the visible edema zone. The femoral artery catheter cerebral angiography, see the right anterior cerebral artery is not developing, the middle cerebral artery walking is normal. The right side of the external carotid artery angiography seen on the right side of the top of the dural vascular abnormalities increased thicker, reticular, sagittal sinus premature development. Left internal carotid artery angiography, anteroposterior left anterior cerebral artery 3 arc left, distal visible bilateral anterior cerebral artery imaging; lateral view of the left anterior descending artery section 3, the external carotid artery See the system and the right phase