2021年04月22日发布 | 437阅读

神经血管影像速阅(11):双下肢无力和胸段脊髓动静脉畸形

陈红兵

中山大学附属第一医院

达人收藏

Bilateral Lower Limb Weakness and Thoracic Spinal Cord Arteriovenous Malformation


基本信息 Basic Information

男,9岁

9-year-old boy

症状:双下肢无力和大小便障碍

Symptoms: bilateral lower limb weakness and defecation dysfunction


影像资料

Imaging Data




△T2WI:下胸段和腰段脊髓周围蛛网膜下腔可见杂乱的异常血液流空效应,局部呈瘤样扩张,并压迫脊髓(橙箭);脊髓呈高信号肿胀


T2WI showed an abnormal blood flow-void effect in the subarachnoid space around the thoracic and lumbar spinal cords, and the spinal cord edema with a slightly high signal intensity; the lower thoracic spinal cord was opspanssed by the blood flow-void effect with an aneurysm-like dilatation (orange arrow)




3D-TOF和增强MRA:下胸段脊髓动静脉畸形,局部呈瘤样扩张(橙箭);并可见迂曲的供血动脉(红箭)和引流静脉(蓝箭)


3D-TOF and contrast enhanced MRA showed a lower thoracic spinal cord arteriovenous malformation with a local aneurysm-like dilatation (orange arrow), its blood supply artery (redarrow) and drainage vein (blue arrow) were tortuous


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