Neurological Surgery 脳神経外科47巻9号

2019年09月発行

総説

病態から考える頭蓋内硬膜動静脈瘻の診断と治療

著者： 秋山武紀¹

所属機関： ¹慶應義塾大学医学部脳神経外科

ページ範囲：P.927 - P.941

Ⅰ．はじめに
　硬膜動静脈瘻は，硬膜上の病的な動静脈短絡により静脈高血圧を生じ，短絡そのものおよび静脈高血圧によりさまざまな臨床症状を呈する疾患である．疾患の稀少性に加え，完全には解明されていない発生のメカニズム，多様な臨床病態，複数の治療の選択肢，治療法の変遷などにより，疾患の理解と適切な治療の選択・遂行が広く，脳神経外科医の間で浸透しているとは必ずしも言えない．
　本稿では頭蓋内硬膜動静脈瘻の病態に関する知見を整理し，最近の治療法の考え方と選択について総括する．

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