Radiosurgical treatment of a cerebral arteriovenous malformation in a patient with Moyamoya disease: Case report
Radiosurgical treatment of a cerebral arteriovenous malformation in a patient with Moyamoya disease: Case report
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DOI：
10.1097/00006123-200208000-00031
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发表时间：
2002-08-01
期刊：
影响因子：
4.8
通讯作者：
Han, DH
中科院分区：
文献类型：
--
作者：
Seol, HJ;Kim, DG;Han, DH
目标和重要性：描述了一例烟雾病患者的脑动静脉畸形（AVM）病例，该病例采用伽玛刀治疗。这是第一次报告的放射外科治疗脑动静脉畸形的患者烟雾病，结果是令人满意的。临床表现：患者提出了频繁发作的短暂性脑缺血发作和seizure.INTERVENTION：阶段性脑硬脑膜动脉synangiosis进行两侧，间隔10个月。术后脑血管造影显示脑灌注增加，这增加了AVM小病灶的大小。该患者随后接受了伽玛刀手术，2年后AVM完全消失。结论：放射外科手术可能是一个很好的治疗选择AVM合并烟雾病，允许保留侧支血管和预防可能的痛苦灌注。
OBJECTIVE AND IMPORTANCE: A case of a cerebral arteriovenous malformation (AVM), which was treated with gamma knife surgery, in a patient with moyamoya disease is described. This is the first report of radiosurgical treatment of a cerebral AVM in a patient with moyamoya disease; the outcome was satisfactory.CLINICAL PRESENTATION: The patient presented with frequent episodes of transient ischemic attacks and seizures.INTERVENTION: Staged encephaloduroarteriosynangiosis was performed on both sides, with an interval of 10 months. Postoperative cerebral angiography demonstrated augmented cerebral perfusion, which increased the size of the AVM niclus. The patient subsequently under,went gamma knife surgery,, and the AVM completely disappeared 2 years later.CONCLUSION: Radiosurgery may be a good treatment option for AVMs accompanying moyamoya disease, allowing the preservation of collateral vessels and the prevention of possible misery perfusion.