Arai Y, Ishii H, Handa Y, Ueda Y, Shirasaki N, Nozaki J, Kubota T
Department of Neurosurgery, Faculty of Medical Sciences, University of Fukui, Fukui; Japan -
Interv Neuroradiol. 2004 Mar 14;10(1):59-62. doi: 10.1177/159101990401000107. Epub 2004 Oct 22.
We report a case of dural arteriovenous fistula (DAVF) within the left hypoglossal canal in a 64-year-old man who presented with tinnitus and ocular symptoms. Angiography revealed DAVF with the fistulous pouch medial to the left jugular bulb. The fistula was feeded by meningeal branches of the bilateral ascending pharyngeal arteries and the branches from the left vertebral artery. The fistula shunted into the left jugular bulb, with reflux into the left inferior petrosal (IPS) and cavernous sinuses (Cses), left superior ophthalmic vein (SOV) and cortical veins over the cerebral convexity. We performed transvenous coil embolization to occlude the fistula resulting in complete resolution of symptoms and signs.
我们报告一例64岁男性，其左舌下神经管内存在硬脑膜动静脉瘘（DAVF），表现为耳鸣和眼部症状。血管造影显示DAVF，瘘囊位于左颈静脉球内侧。瘘由双侧咽升动脉的脑膜支和左椎动脉分支供血。瘘分流至左颈静脉球，反流至左岩下窦（IPS）和海绵窦（Cses）、左眼上静脉（SOV）及脑凸面的皮质静脉。我们进行了经静脉线圈栓塞以闭塞瘘，症状和体征完全消失。
