Spinale durale arterioven?se Fisteln

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• 作者：W. Reith (1) nrreith@uniklinikum-saarland.de
  M. Kettner (1)
  A. Simgen (1)
  U. Yilmaz (1)
• 关键词：Spinal dural arteriovenous fistula – Arteriovenous malformations – Spinal angiography – Magnetic resonance imaging – Endovascular embolization
• 刊名：Der Radiologe
• 出版年：2012
• 出版时间：May 2012
• 年：2012
• 卷：52
• 期：5
• 页码：437-441
• 全文大小：432.9 KB
• 参考文献：1. Aghakhani N et al (2012) Curable cause of paraplegia spinal dural arteriovenous fistulae. Stroke 39(10):2756–2759
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• 作者单位：1. Klinik für Diagnostische und Interventionelle Neuroradiologie, Universit?tsklinikum des Saarlandes, Kirrberger Str. 1, 66424 Homburg/Saar, Deutschland
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Imaging and Radiology
  General Practice and Family Medicine
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1432-2102

文摘

Spinale durale arterioven?se Fisteln (dAVF) sind seltene spinale vaskul?re Malformationen, die unbehandelt zu einer progredienten Paraparese und Paraplegie führen k?nnen. Da die klinischen Symptome oft unspezifisch sind, werden sie h?ufig erst in einem sp?teren Stadium diagnostiziert. Die Erkrankungsh?ufigkeit ist mit 5–10 Neuerkrankungen/1 Mio. Einwohner/Jahr relativ selten, über 80% der Betroffenen sind M?nner. Der unbehandelt schlechte klinische Verlauf der dAVF sowie die M?glichkeit der Therapie, deren Erfolg von einer frühzeitigen Behandlung abh?ngt, macht sie jedoch zu einer wichtigen Erkrankung. Die Diagnose ist h?ufig im MRT zu stellen, zur genauen Darstellung der Fistel ist eine selektive spinale Subtraktionsangiographie jedoch notwendig.