PDF(Pubmed)
Abstract：
We present the case of a 47-year-old woman with neurofibromatosis type 1 (NF1) with subarachnoid haemorrhage (SAH) from the left vertebral arteriovenous fistula, along with a review of previous cases. Our patient had a family history of NF1 and presented to the emergency department with a sudden-onset severe headache and neck pain. CT scan showed SAH. CT angiography revealed a left vertebral arteriovenous fistula and an epidural haematoma. She underwent direct surgery and was discharged without neurologic deficits. To our knowledge, this is the first case of SAH caused by perimedullary drainage of a vertebral arteriovenous fistula associated with NF1. In a literature search, we identified 40 cases of vertebral arteriovenous fistula associated with NF1. The majority of vertebral arteriovenous fistulas occurred on the left side and in women. Patients with vertebral arteriovenous fistula typically experience neck pain, radiculopathy, radiculomyelopathy and bruits.
摘要：
我们介绍了一名47岁的女性，患有1型神经纤维瘤病（NF1），患有左侧椎动脉静脉瘘的蛛网膜下腔出血（SAH）。以及对以前案件的审查。我们的患者有NF1家族史，并因突发性严重头痛和颈部疼痛而被送往急诊科。CT扫描显示SAH。CT血管造影显示左侧椎动脉静脉瘘和硬膜外血肿。她接受了直接手术，出院时没有神经缺陷。据我们所知,这是第一例与NF1相关的椎管动静脉瘘的髓周引流引起的SAH.在文献检索中，我们确定了40例与NF1相关的椎动静脉瘘。大多数椎动静脉瘘发生在左侧和女性。椎管动静脉瘘患者通常会出现颈部疼痛，神经根病,神经根脊髓病和瘀伤。
