| 神经内镜辅助下海绵窦穿刺血管内栓塞治疗海绵窦区硬脑膜动静脉瘘1例报道并文献复习 |
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| 引用本文： | 高,旭,冯思哲,陈立刚,王,振,孙晓宇,梁国标.神经内镜辅助下海绵窦穿刺血管内栓塞治疗海绵窦区硬脑膜动静脉瘘1例报道并文献复习[J].中国临床神经外科杂志,2021,26(9):690-692. |
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| 作者姓名： | 高 旭 冯思哲 陈立刚 王 振 孙晓宇 梁国标 |
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| 作者单位： | 110840 沈阳，中国人民解放军北部战区总医院神经外科（高 旭、冯思哲、陈立刚、王 振、孙晓宇、梁国标） |
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| 摘 要： | 目的 探讨无静脉通路的海绵窦区硬脑膜动静脉瘘的治疗方法及效果。方法 回顾性分析神经内镜辅助下海绵窦穿刺血管内栓塞治疗的1例海绵窦区硬脑膜动静脉瘘的临床资料，并结合文献进行分析。结果 术后即刻造影显示瘘口栓塞完全，无异常显影。术后2个月门诊随访，双眼球结膜无充血，无突眼症状，视力、视野及眼球运动均正常，无颅内杂音，无头晕头痛等表现。结论 神经内镜辅助下经蝶窦穿刺海绵窦是治疗经典入路失败的海绵窦区硬脑膜动静脉瘘的一种可行的选择。
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| 关 键 词： | 海绵窦区硬脑膜动静脉瘘 血管内栓塞 神经内镜 海绵窦穿刺 |
Embolization through cavernous sinus puncture assisted by neuroendoscope for patients with dural arteriovenous fistula: a case report and literature review |
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| GAO Xu,FENG Si-zhe,CHEN Li-gang,WANG Zhen,SUN Xiao-yu,LIANG Guo-biao..Embolization through cavernous sinus puncture assisted by neuroendoscope for patients with dural arteriovenous fistula: a case report and literature review[J].Chinese Journal of Clinical Neurosurgery,2021,26(9):690-692. |
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| Authors: | GAO Xu FENG Si-zhe CHEN Li-gang WANG Zhen SUN Xiao-yu LIANG Guo-biao |
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| Affiliation: | Department of Neurosurgery, General Hospital of Northern Theater Command, PLA, Shenyang 110840, China |
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| Abstract: | Objective To explore the treatment of patients with cavernous sinus dural arteriovenous fistula (CS-DAVF) who were failed to treat through venous approach. Methods The clinical data of one patient with CA-DAVF who received embolization through cavernous sinus puncture assisted by neuroendoscope. The related literatures were reviewed. Results Immediate postoperative angiography after embolization showed that the fistula was completely embolized and there was no abnormal development. The follow-up (2 months after the embolization) showed there was no hyperemia of the conjunctiva of both eyes, no symptoms of exophthalmos, no intracranial murmurs, and no dizziness, headache and other manifestations; the vision, visual field and eye movement were normal. Conclusion Embolization through cavernous sinus puncture assited by neuroendoscope is a feasible option for the patients with CS-DAVF who were failed by embolization through the classic approach. |
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| Keywords: | Cavernous sinus dural arteriovenous fistula Endovascular embolization Neuroendoscope Cavernous sinus puncture |
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