Duret Hemorrhage Caused by Rupture of Sylvian Fissure Arteriovenous Malformation

動靜脈畸形破裂引發Duret氏出血

陳咏亮(Yung-Liang Chen) ； 柯蘋芯(Ping-Hsin Ko) ； 王慧珺(Huey-Jiunn Wang) ； 謝榮豪(Jung-Hao Hsieh)

《北市醫學雜誌》 8卷2期 (2011/06) Pp. 135-141

https://doi.org/10.6200/TCMJ.2011.8.2.05

摘要

Duret氏出血(Duret hemorrhage)是一種因腦幹受壓迫造成的繼發性腦幹出血。西元2000以前，大部分文獻認為這是存活率很低的神經外科疾病。西元2000以後，開始有病例報告顯示早期積極治療，病人可以存活下來而且神經功能也能恢復。然而，這些病例報告大多是創傷性腦傷的病患，只有一個病例是腦血管瘤破裂造成的Duret氏出血，並沒有因動靜脈畸形破裂造成Duret氏出血的病例被報導過。我們報告的這個病例，是極少見因動靜脈畸形破裂造成Duret氏出血，經緊急顱骨切開手術後存活且有神經學恢復的病例報告。

關鍵字

Duret氏出血 ； 動靜脈畸形 ； 腦裂

並列摘要

Duret hemorrhage, a secondary brainstem hemorrhage resulting from transtentorial downward herniation, is a catastrophic neurosurgical emergency and has been considered to be fatal up to the present. Recent studies have reported good neurological recovery after early medical or surgical treatment, but most of these reported cases of Duret hemorrhage were induced by a traumatic event and only one reported case was caused by aneurysmal rupture. Here we describe the rarely reported case of a patient who survived after a Duret hemorrhage that was caused by a rupture of an arteriovenous malformation.

並列關鍵字

Duret hemorrhage ； arteriovenous malformation ； sylvian fissure