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Acute paraplegia following embolization of spinal dural arteriovenous fistula
  • 期刊名称:Chin J Med
  • 时间:2011
  • 页码:634-636
  • 分类:S791.490.1[农业科学—林木遗传育种;农业科学—林学] Q959.725[生物学—动物学]
  • 作者机构:[1]Department of Neurosurgery, Shanghai Changzheng Hospital,Shanghai 200003, China
  • 相关基金:This study was supported by a grant from the National Natural Science Foundation of China (No. 30772248).
  • 相关项目:Nogo-B shRNA慢病毒抑制恶性胶质瘤微血管生成的作用及分子机制研究
作者: Wu Xiao-Jun|
中文摘要:

Embolization 治疗由于它的最小的侵略仅仅为某些病人或在某些医药机构为针的硬脑膜的动静脉的管(SDAVF ) 被用作起始的治疗,但是 embolization 的复发仍然是临床的挑战。周期性的病人通常展出症状的渐渐的发作和神经病学的功能的进步恶化。在 embolization 以后开发截瘫几小时通常与静脉的血栓相关的复杂并发症,为 anticoagulation,治疗经常被管理在病人被看见。这篇文章在两个的有的软弱在 embolization 和发达完全的截瘫前降低极限的一个 SDAVF 病人上报导在 embolization 治疗以后的几个小时,以后是由 angiography 证实了管复发。症状在第二 embolization 以后逐渐地被减轻。这个病人的 pathophysiology 也被讨论。

英文摘要:

Embolization therapy has been used as the initial treatment for spinal dural arteriovenous fistula (SDAVF) only for certain patients or in certain medical institutions due to its minimal invasiveness, but the recurrence of embolization remains a clinical challenge. The recurrent patient usually exhibits a gradual onset of symptoms and progressive deterioration of neurological function. Developing paraplegia several hours after embolization is commonly seen in patients with venous thrombosis-related complications, for which anticoagulation therapy is often administered. This article reports on a SDAVF patient who had weakness of both lower extremities before embolization and developed complete paraplegia several hours after embolization therapy, later confirmed by angiography as fistula recurrence. The symptoms were relieved gradually after second embolization. The pathophysiology of this patient is also discussed.

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