Pei W, Huai-Zhang S, Shan-Cai X, Cheng G, Di Z
Department of Neurosurgery, The first Affiliated Hospital Harbin Medical University, Harbin Heilongjiang, China.
Interv Neuroradiol. 2010 Sep;16(3):286-9. doi: 10.1177/159101991001600310. Epub 2010 Oct 25.
We describe a patient with dural arteriovenous fistula (DAVF) treated with Onyx-18 who developed isolated hypoglossal nerve palsy. This is the first case of isolated hypoglossal nerve palsy caused by Onyx-18 embolization. This complication suggests that over embolization with Onyx-18 in the treatment of hypoglossal canal DAVFs should be avoided, and transvenous embolization may be safer. Furthermore, prednisolone therapy should be carried out in the prophase of nerve palsy.
我们描述了一名接受Onyx-18治疗的硬脑膜动静脉瘘（DAVF）患者，该患者出现了孤立性舌下神经麻痹。这是首例由Onyx-18栓塞引起的孤立性舌下神经麻痹病例。这种并发症表明，在治疗舌下神经管DAVF时应避免使用Onyx-18过度栓塞，经静脉栓塞可能更安全。此外，应在神经麻痹前期进行泼尼松龙治疗。
