动脉瘤破裂引起的自发性中脑膜动静脉瘘:病例报告。

NMC Case Report Journal Pub Date : 2023-03-24 eCollection Date: 2023-01-01 DOI:10.2176/jns-nmc.2022-0376
Satoshi Miyamoto, Hisayuki Hosoo, Eiichi Ishikawa, Yuji Matsumaru
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摘要

中脑膜动静脉瘘(MMAVF)是中脑膜动脉与动脉周围静脉之间的分流。我们报告了一例极为罕见的自发性中脑膜动静脉瘘病例,然后评估了经动脉栓塞治疗自发性中脑膜动静脉瘘的效果以及自发性中脑膜动静脉瘘的可能病因。一名 42 岁的男子患有耳鸣、左颞部头痛和左下颌关节周围疼痛,经数字减影血管造影确诊为 MMAVF。使用可拆卸线圈进行经动脉栓塞治疗后,瘘管闭合,症状减轻。MMAVF 的病因被认为是脑膜中动脉瘤破裂。脑膜中动脉瘤可能是自发性 MMAVF 的病因,经动脉栓塞可能是最佳治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Spontaneous Middle Meningeal Arteriovenous Fistula Caused by Aneurysm Rupture: A Case Report.

Middle meningeal arteriovenous fistula (MMAVF) is a shunt between the middle meningeal artery and the vein surrounding the artery. We report an extremely rare case of spontaneous MMAVF; then, we evaluated the effectiveness of trans-arterial embolization for spontaneous MMAVF and the possible cause of spontaneous MMAVF. A 42-year-old man with tinnitus, a left temporal headache, and pain surrounding the left mandibular joint was diagnosed with MMAVF on digital subtraction angiography. Trans-arterial embolization with detachable coils was conducted, which resulted in a fistula closure and symptoms' diminishment. The cause of MMAVF was thought to be the rupture of the middle meningeal artery aneurysm. A middle meningeal artery aneurysm can be a cause of spontaneous MMAVF, and trans-arterial embolization might be an optimal treatment.

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