대한영상의학회지 (Journal of the Korean Society of Radiology)

  • 제81권6호
  • /
  • Pages.1472-1477
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  • 2020
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  • 1738-2637(pISSN)
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  • 2288-2928(eISSN)
대한영상의학회 (The Korean Society of Radiology)
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Borden I 유형의 S상 정맥동 경막 동정맥루의 공급 동맥인 전방 하뇌 소뇌 동맥의 동맥류 파열로 인한 지주막하 출혈: 증례 보고

Borden Type I Sigmoid Sinus Dural Arteriovenous Fistula Presenting as Subarachnoid Hemorrhage from a Feeding Artery Aneurysm of the Anterior Inferior Cerebellar Artery: A Case Report

  • 김묘정 (순천향대학교 서울병원 영상의학과) ;
  • 박성태 (순천향대학교 서울병원 영상의학과)
  • Myojeong Kim (Department of Radiology, Soonchunhyang University Seoul Hospital) ;
  • Sung-Tae Park (Department of Radiology, Soonchunhyang University Seoul Hospital)
  • 투고 : 2019.12.13
  • 심사 : 2020.04.02
  • 발행 : 2020.11.01
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초록

경막 동정맥루는 다양한 증상을 일으킬 수 있는 후천적 혈관 이상이다. Borden I 유형의 S상 정맥동 동정맥 누공이 지주막하 출혈로 나타난 드문 증례를 보고한다. 출혈은 전방 하뇌 소뇌 동맥의 작은 연막 공급 혈관인 측면 연수 교뇌 부분에 있는 측벽 동맥류 파열로 인해 발생하였다. 저자들은 뇌 전산화단층촬영 및 혈관조영술, 자기공명영상 및 혈관조영술 그리고 디지털 감산 혈관조영술을 포함한 영상 소견과 기존의 유사한 증례에 대한 문헌을 검토하고자 한다.

Dural arteriovenous fistula is an acquired vascular anomaly that can cause various symptoms. Here, we report a rare case of Borden type I sigmoid sinus dural arteriovenous fistula presenting as subarachnoid hemorrhage. Bleeding occurred from a side-wall aneurysm in the lateral pontomedullary segment of the anterior inferior cerebellar artery, which was a minor pial feeder. Features on imaging modalities, including brain CT, CT angiography, MR imaging/angiography and digital subtraction angiography, are described with a literature review.

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참고문헌

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