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回顾性分析 3 8例脑膜脑动静脉畸形 (脑膜脑 AVM)的临床特点、畸形团部位、供血动脉、治疗原则及结果。首发症状为头痛和 (或 )癫痫 2 9例 (76.3 % ) ,脑出血 5例 (13 .1% )。病变位于枕叶 17例 ,额叶 4例 ,颞叶 5例 ,颞枕区 6例 ,小脑 3例 ,胼胝体区 2例 ,额顶叶 1例。畸形团平均为 6.13cm。脑膜中动脉参与供血 3 4例 ,脑膜后动脉 11例 ,枕动脉 12例 ,咽升动脉 ,脑膜垂体干、眼动脉各 1例。 38例均经栓塞治疗 ,平均栓塞 2 .2 7次。 2例栓塞后经手术切除治愈。8例栓塞后行立体定向放射治疗 ,其中 3例随访 2年 ,2例病变消失、1例明显缩小。所有患者经治疗出院后临床症状均消失或缓解。认为大部分脑膜脑 AVM患者的症状可用药物控制。在治疗脑膜脑 AVM时 ,对于未出血、畸形团较大、以癫痫等为主要症状的患者 ,可以采用保守治疗。
A retrospective analysis of 38 cases of meningeal arteriovenous malformations (AVM) clinical features, malformations, feeding arteries, treatment principles and results. The first symptom was headache and / or epilepsy in 29 (76.3%) and cerebral hemorrhage in 5 (13.1%). The lesions were located in occipital 17 cases, frontal 4 cases, temporal lobe 5 cases, temporal occipital 6 cases, cerebellar 3 cases, corpus callosum 2 cases, frontal lobe 1 case. Anomalous group average 6.13cm. The middle meningeal artery was involved in blood supply in 34 cases, posterior meningeal artery in 11 cases, occipital artery in 12 cases, pharyngeal ascending artery, meningioma and ophthalmic artery in 1 case. Thirty-eight patients underwent embolization, with an average embolism of 2.27 times. Two cases were cured by surgical resection after embolization. Eight patients underwent stereotactic radiotherapy after embolization. Three patients were followed up for 2 years, two patients disappeared and one patient was significantly reduced. All patients were discharged after treatment clinical symptoms disappeared or alleviated. It is believed that most of the symptoms of AVM patients can be controlled by drugs. In the treatment of brain AVM when the brain, for not bleeding, deformity larger epilepsy as the main symptoms of patients, you can use conservative treatment.