2021年04月23日发布 | 493阅读

神经血管影像速阅(12):四肢无力和颈段脊髓动静脉畸形

陈红兵

中山大学附属第一医院

达人收藏

Paraplegia and Cervical Spinal Cord Arteriovenous Malformation


基本信息 Basic Information


女,66岁

66-year-old female


症状:四肢无力

Symptoms: paraplegia




Imaging Data


影像资料


△颈部CTA源图像多平面重建:颈部椎管内局部可见畸形血管影(红箭)

Multiplanar reconstruction images from the cervical CTA source images: a vascular malformation within the cervical spinal canal (red arrow)





MRI:T2WI于颈髓周围检测到异常血液流空影;颈髓肿胀,其内可见出血混杂信号,T1WI呈等低混杂信号,T2WI呈高低混杂信号

MRIT2WI showed an abnormal blood flow-void effect in the cervica subarachnoid space (red arrow); the cervical spinal cord was swelling and had an internal hemorrhage with iso-hypointense signal on T1WI and iso-hyperintense signal on T2WI



DSA:颈部脊髓动静脉畸形(红箭),由右侧椎动脉分支供血(橙箭),主要引流静脉(蓝箭)汇入颅内静脉窦

DSA showed a cervical spinal cord arteriovenous malformation (red arrow); its blood supply artery originated from a branch of the right vertebral artery (orange arrow) and the main drainage vein (blue arrow) finally joined into the intracranial venous sinus

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