Department of Neurosurgery, Stroke and Neurological Disorders Centre, East-West Neo Medical Hospital of Kyung Hee University, 134-090 Sangil-Dong 149, Gangdong-Gu, Seoul, Republic of Korea.
J Clin Neurosci. 2011 Mar;18(3):413-5. doi: 10.1016/j.jocn.2010.05.019. Epub 2011 Jan 14.
We report a patient with a rare dural arteriovenous fistula of the anterior condylar vein, who presented with unusual clinical symptoms due to the anomalous venous drainage. The patient had progressive ocular signs, a dilated venous pouch at the skull base and, on angiography, retrograde venous drainage into the superior ophthalmic vein. Transvenous embolization of the venous pouch produced complete amelioration of the ocular symptoms. Such treatment may be curative for dural arteriovenous fistulas of the anterior condylar vein.
我们报告一例罕见的前髁突静脉硬脑膜动静脉瘘患者，由于异常的静脉引流导致了不寻常的临床症状。患者出现进行性眼部症状、颅底静脉囊扩张，并且在血管造影中出现逆行性静脉引流至上眼静脉。经静脉内栓塞静脉囊可完全改善眼部症状。这种治疗方法可能对前髁突静脉硬脑膜动静脉瘘有效。
