患儿女,10岁,因突发头晕伴呕吐于2014年8月急诊收治入我院。患儿既往无脑出血或癫痫病史。入院时专科查体:患者意识清楚,精神差,对答切题,未见神经功能异常。头颅CTA检查:左侧小脑半球内见团片状高密度影,大小约2.1 cm×1.8 cm,左侧小脑半球深部髓质内见多根呈放射状的静脉,汇入一支增粗的中央静脉,并汇入岩下窦。头颅CTA诊断:左侧小脑半球静脉畸形伴左侧小脑半球出血可能性大(图1~2)。为了进一步明确诊断及拟行血管内介入治疗,进行了脑血管造影检查,术中发现与头颅CTA影像表现一致,畸形静脉引流左侧小脑后下动脉血液(图3~6),畸形静脉被正 Children, 10 years old, admitted to our hospital due to sudden dizziness and vomiting in August 2014 emergency. Children with no previous history of cerebral hemorrhage or epilepsy. Admission specialist examination: patients with a clear sense of spirits, answers to questions, no neurological dysfunction. Head CTA examination: the left cerebellar hemisphere see high-density intracranial mass, about the size of 2.1 cm × 1.8 cm, the left side of the medulla oblongata medulla seen a number of radial radial vein, into a thickening of the central vein , And import under the rock sinus. CTA diagnosis of the skull: the left cerebellar hemovascular venous malformation with the possibility of bleeding in the left cerebellar hemisphere (Figure 1 and 2). In order to further clarify the diagnosis and to be planned for endovascular interventional therapy, cerebrovascular angiography was performed. The intraoperative findings were consistent with those of skull CTA images. The deformity venous drainage left posterior inferior cerebellar artery blood (Figure 3-6), deformity veins were positive