肺动静脉瘘致青年缺血性脑卒中及偏头痛1例A case of acute cerebral infarction and migraine caused by pulmonary arteriovenous fistula
王萍,刘永胜
摘要(Abstract):
肺动静脉瘘(PAVF)是一种直接将肺循环与体循环连接起来的少见血管畸形。引起反常脑栓塞不伴有遗传性毛细血管扩张症的单纯型PAVF较少见。本文报道1例青年单纯PAVF导致反常性脑梗死患者,该患者因突发失语入院。既往有10余年偏头痛病史,头颅磁共振成像提示脑梗死,对患者完善发泡试验及肺动脉CT血管造影,结果显示为少见的单纯PAVF。治疗上行急诊静脉溶栓治疗和PAVF封堵术后,失语症状消失,偏头痛症状缓解,提示本例PAVF不仅导致脑梗死,也参与患者偏头痛的发病过程。
关键词(KeyWords): 肺动静脉瘘;反常栓塞;脑卒中;偏头痛
基金项目(Foundation):
作者(Author): 王萍,刘永胜
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