CAJ | 학술논문

目的探讨面部血管痣合并脑积水患者的颅内静脉异常回流特征及其临床表现.方法结合文献复习,回顾性分析3例面部血管痣合并先天脑积水患儿的脑血管造影资料及临床表现.结果 3例患儿均有多处广泛的静脉窦闭塞且影响全脑静脉回流,颅内静脉回流主要经异常扩张的导静脉或代偿形成的侧副路静脉反流至头面部,引起双侧头面部及颈部静脉扩张.结论广泛的颅内静脉窦闭塞导致颅内异常的静脉回流是面部血管痣患儿发生脑积水的主要原因,而这种静脉窦闭塞及异常回流静脉的形成很可能源于胎儿胚胎期发育缺陷.
목적 탐토면부혈관지합병뇌적수환자적로내정맥이상회류특정급기림상표현.방법 결합문헌복습,회고성분석3례면부혈관지합병선천뇌적수환인적뇌혈관조영자료급림상표현.결과 3례환인균유다처엄범적정맥두폐새차영향전뇌정맥회류,로내정맥회류주요경이상확장적도정맥혹대상형성적측부로정맥반류지두면부,인기쌍측두면부급경부정맥확장.결론 엄범적로내정맥두폐새도치로내이상적정맥회류시면부혈관지환인발생뇌적수적주요원인,이저충정맥두폐새급이상회류정맥적형성흔가능원우태인배태기발육결함.
Objective To study the clinical manifestation of intracranial anomalous venous return associated with the facial nevi and hydrocephalus. Methods Along with reviewing of the literatures, the clinical records of 3 patients suffered from the facial nevi and hydrocephalus were analyzed. Results All of 3 patients also have sinovenous occlusion, which affect cerebral venous return. Conclusions Intracranial anomalous venous return, which is induced by extensive sinovenous occlusion, has been considered to be the main cause of hydrocephalus in the facial nevi. The formation of sinovenous occlusion and anomalous venous return may be due to developmental defect in the embryonic stage.