Neurological Surgery 脳神経外科34巻4号

2006年04月発行

総説

硬膜動静脈瘻の治療戦略

著者： 松丸祐司¹

所属機関： ¹虎の門病院脳神経血管内治療科

ページ範囲：P.351 - P.363

Ⅰ．は じ め に

　硬膜動静脈瘻（dural arteriovenous fistula，DAVF）は，外傷，静脈洞閉塞，静脈圧亢進との関連が示唆され，現在では後天性疾患と考えられている^6,25)．硬膜動静脈奇形（dural arteriovenous malformation）と呼ばれることもあるが，後天性疾患と考えると正しい名称ではない．一方，稀な疾患ではあるが静脈洞の発生異常に伴う動静脈シャント疾患が新生児に認められるが，これらは真の意味での硬膜動静脈奇形でありDAVFとは区別すべきである⁴⁾．DAVFの治療は血管内治療が中心となるが，病変部へのアプローチ法は多岐にわたり，また外科的治療，放射線治療も有効である．本章ではDAVFに対する治療戦略を解説する．

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