伴有蛛网膜下腔出血的颈静脉孔区硬脑膜动静脉瘘：选择性经动脉栓塞术
Dural arteriovenous fistula of jugular foramen with subarachnoid hemorrhage : selective transarterial embolization.
作者信息
Byun Jun Soo, Hwang Sung Nam, Park Seung Won, Nam Taek Kyun
机构信息
Department of Radiology, College of Medicine, Chung-Ang University, Yongsan Hospital, Seoul, Korea.
出版信息
J Korean Neurosurg Soc. 2009 Mar;45(3):199-202. doi: 10.3340/jkns.2009.45.3.199. Epub 2009 Mar 31.
Abstract
We report the case of a 64-year-old man with dural arteriovenous fistula (DAVF) at right jugular foramen, presented as subarachnoid and intraventricular hemorrhage. The malformation was fed by only the neuromeningeal trunk of the right ascending pharyngeal artery and drained into the right lateral medullary veins craniopetally. Complete embolization was attained by selective transarterial glue injection, but patient showed lower cranial neuropathies. A 3-month follow-up angiogram still showed persistent fistula occlusion. Transarterial glue embolization is a feasible method, only if a transvenous access is not possible in case of single channel fistula.
摘要
我们报告了一例64岁男性，其右侧颈静脉孔处存在硬脑膜动静脉瘘（DAVF），表现为蛛网膜下腔和脑室内出血。该畸形仅由右侧咽升动脉的神经脑膜干供血，并向头侧引流至右侧延髓外侧静脉。通过选择性经动脉注射胶水实现了完全栓塞，但患者出现了低位颅神经病变。3个月后的随访血管造影仍显示瘘口持续闭塞。对于单通道瘘，只有在无法进行经静脉入路的情况下，经动脉胶水栓塞才是一种可行的方法。
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