不典型硬脊膜动静脉瘘6例临床分析

Clinical analysis of 6 cases of atypical spinal dural arteriovenous fistula

硬脊膜动静脉瘘(SDAVF)是脊髓血管畸形疾病中最常见的一种,主要表现为横贯性脊髓损害,影像学多表现为长节段脊髓病变伴脊髓表面增多迂曲血管影。该病临床上相对少见,并且可有不典型表现,极易漏诊或误诊为脊髓炎性反应性疾病或椎间盘退行性变等,早期诊断和治疗能明显改善预后。文章对6例不典型SDAVF患者临床特征和实验室资料进行分析,为临床医师提供经验。

Spinal dural arteriovenous fistula(SDAVF)is the most common type of spinal vascular malformation.It mainly manifests as transverse spinal cord injury.The imaging manifestations are mostly long-segment spinal cord lesions with increased tortuous vascular shadows on the spinal cord surface.The disease is relatively rare in clinical practice,and may have atypical manifestations.It is easy to be missed or misdiagnosed as a spinal inflammatory disease or intervertebral disc degeneration.Early diagnosis and treatment can significantly improve the prognosis.This article analyzes the clinical characteristics and laboratory data of 6 patients with atypical SDAVF to provide clinicians with experience.