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논문 기본 정보

자료유형
학술저널
저자정보
Kim, Hye Seon (Department of Neurosurgery, Seoul National University Hospital) Park, Seong-Cheol (Department of Neurosurgery, GangNeung Asan Hospital) Ha, Eun Jin (Department of Neurosurgery, Seoul National University Hospital) Cho, Wong-Sang (Department of Neurosurgery, Seoul National University Hospital) Kim, Seung-Ki (Department of Neurosurgery, Seoul National University Hospital) Kim, Jeong Eun (Department of Neurosurgery, Seoul National University Hospital)
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대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제61권 제4호
발행연도
2018.1
수록면
485 - 493 (9page)

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Objective : Cerebral varices (CVs) without an arteriovenous shunt, so called nonfistulous CVs, are very rare, and their etiology and natural course are not well understood. The aim of this study is to evaluate the clinical outcomes of nonfistulous CVs by the analysis of 39 cases. Methods : From 2000 to 2015, 22 patients with 39 nonfistulous CVs (${\geq}5mm$) were found by searching the medical and radiologic records of our institute. Clinical data and radiological data including numbers, sizes and locations of CVs and associated anomalies were retrospectively collected and analyzed. Previously reported cases in literature were reviewed as well. Results : The mean age of the patients was 21 years (range, 0-78 years). On average, $1.8{\pm}1.2CVs$ were found per patient. CVs were categorized as either fusiform or saccular depending on their shapes. Two patients had saccular type CVs, seventeen patients had fusiform types, and three patients had both fusiform and saccular CVs. Eight patients had associated compromise of the vein of Galen and the straight sinus. Four of those patients had sinus pericranii, as well. Five patients had CVs that were distal draining veins of large developmental venous anomalies. One patient had associated migration anomaly, and two patients had Sturge-Weber syndrome. Six patients with an isolated cerebral varix were observed. Of the 39 CVs in 22 patients, 20 lesions in 14 patients were followed up in outpatient clinics with imaging studies. The average follow-up duration was 6.6 years. During this period, no neurological events occurred, and all the lesions were managed conservatively. Conclusion : Nonfistulous CVs seemed to be asymptomatic in most cases and remained clinically silent. Hence, we suggest conservative management.
#Central nervous system venous angioma #Central nervous system vascular malformations

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참고문헌 (37)

참고문헌 신청
Aydin I / 1996 / The variations of Sylvian veins and cisterns in anterior circulation aneurysms. An operative study / Acta Neurochir 138:1380~1385 Crossref Boukobza M / 1996 / Cerebral developmental venous anomalies associated with head and neck venous malformations / AJNR Am J Neuroradiol 17:987~994 google schola Cure JK / 1995 / Progressive venous occlusion in a neonate with Sturge-Weber syndrome: demonstration with MR venography / AJNR Am J Neuroradiol 16:1539~1542 google schola Damiano TR / 1994 / Posterior fossa venous angiomas with drainage through the brain stem / AJNR Am J Neuroradiol 15:643~652 google schola Dross P / 1987 / Cerebral varix associated with a venous angioma / AJNR Am J Neuroradil 8:373~374 google schola

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