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目的探讨颅内动静脉畸形的临床表现、诊断及治疗。方法回顾性分析1例小脑蚓部动静脉畸形患者的临床表现、影像学检查、治疗方式及预后。结果头颅CT检查示小脑蚓部颅内血肿,头颅MRI+磁共振血管造影(MRA)检查示小脑蚓部脑内血肿,MRA无明显异常,进一步行头颅CT血管成像(CTA)及数字减影血管造影(DSA)检查示小脑蚓部动静脉畸形。给予后正中入路开颅动静脉畸形切除术治疗,术后恢复良好,无神经功能不良表现。结论开颅显微手术切除动静脉畸形是一种有效治疗颅内动静脉畸形病变的方法。
Objective To investigate the clinical manifestations, diagnosis and treatment of intracranial arteriovenous malformations. Methods The clinical manifestations, imaging examination, treatment and prognosis of 1 patient with cerebellar vermis arteriovenous malformation were retrospectively analyzed. Results CT examination showed cerebellar vermis intracerebral hematoma, MRI MRA showed intracerebral hematoma of cerebellar vermis, MRA showed no obvious abnormalities. CT scan with cranial CT angiography (CTA) and digital subtraction angiography (DSA) examination showed cerebellar vermis arteriovenous malformations. After the middle craniotomy given venous anomalies resection treatment, postoperative recovery was good, no neurological dysfunction performance. Conclusion craniotomy microsurgical removal of arteriovenous malformations is an effective treatment of intracranial AVM lesions.