Neurological Surgery 脳神経外科41巻5号

2013年05月発行

症例

後腹膜出血で発症し，経動脈的および経静脈的塞栓術により根治に至ったparaspinal arteriovenous fistulaの1例

著者： 豊嶋敦彦¹ 徳永浩司¹ 眞鍋博明¹ 杉生憲志¹ 平松匡文¹ 伊丹尚多¹ 菱川朋人¹ 伊達勲¹

所属機関： ¹岡山大学大学院脳神経外科

ページ範囲：P.429 - P.435

Ⅰ．はじめに

　Paraspinal arteriovenous fistula（AVF）は非常に稀な疾患であり，硬膜内脊髄血管奇形や脊髄硬膜動静脈瘻とは異なり，動静脈シャントの部位は椎体周囲の軟部組織や筋組織，椎間孔，椎体内などの硬膜外に存在する．症状は血管性雑音のみを示すものから，硬膜内への逆流による静脈還流障害や脊髄・神経根の圧迫症状，さらには出血を呈するものまでさまざまである^2,6-10,12)．今回われわれは，交通外傷後に後腹膜出血で発症し，経動脈的および経静脈的塞栓術を施行したparaspinal AVFの1例を経験したので，文献的考察を含めて報告する．

参考文献

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