Russell H. Morgan Department of Radiology, Division of Interventional Neuroradiology, Johns Hopkins Hospital, Baltimore, Maryland, USA.
J Neurointerv Surg. 2012 Nov;4(6):435-7. doi: 10.1136/neurintsurg-2011-010116. Epub 2011 Sep 27.
The case history is described of a patient referred to our institution with facial nerve palsy following embolization of a middle cranial fossa dural arteriovenous fistula using ethylene vinyl alcohol copolymer (EVOH). Facial nerve decompression was performed which showed evidence of extensive penetration of EVOH into the vasa nervosa of the facial nerve. Facial nerve palsy is a debilitating complication that can be avoided by attention to the lower cranial nerve arterial supply during careful procedural planning and consideration of alternative strategies for fistula obliteration in cases where eloquent feeders are involved.
本文描述了 1 例患者，因使用乙烯-乙烯醇共聚物（EVOH）栓塞硬脑膜动静脉瘘（dural arteriovenous fistula，DAVF）后出现面神经麻痹，被转至我院。我们对其进行了面神经减压术，发现 EVOH 广泛渗透到面神经的神经血管中。面神经麻痹是一种使人虚弱的并发症，可以通过在仔细的手术规划中注意颅神经的动脉供应，以及在涉及重要供血动脉的情况下考虑替代瘘管闭塞策略来避免。
