Luo C-B, Chang F-C, Wu H-M, Chung W-Y
Department of Radiology, Taipei Veterans General Hospital and School of Medicine, National Yang Ming University, Taipei, Taiwan, ROC.
Acta Neurochir (Wien). 2007 Feb;149(2):197-200; discussion 200. doi: 10.1007/s00701-006-0910-6. Epub 2006 Nov 13.
We report a case of dural arteriovenous fistula (DAVF) of the transverse-sigmoid sinus presenting with intraventricular hemorrhage. Cerebellar infarction developed after transarterial embolization, and decompressive craniectomy was performed to relieve the mass effect. Through the bone window of the decompressive craniectomy, transcranial puncture of the transverse sinus and coil occlusion of the fistula were successfully performed. Decompressive craniectomy may provide an opportunity to occlude DAVFs which cannot be occluded by the transarterial or transvenous approach.
我们报告一例横窦-乙状窦硬脑膜动静脉瘘（DAVF）伴脑室内出血。经动脉栓塞后发生小脑梗死，遂行去骨瓣减压术以减轻占位效应。通过去骨瓣减压术的骨窗，成功实施了横窦的经颅穿刺及瘘口的弹簧圈栓塞。去骨瓣减压术可能为无法通过经动脉或经静脉途径栓塞的DAVF提供栓塞机会。
