Kanemaru Kazuya, Yoshioka Hideyuki, Yagi Takashi, Wakai Takuma, Hashimoto Koji, Fukumoto Yuichiro, Suzuki Keiko, Tateoka Toru, Kazama Hirofumi, Kinouchi Hiroyuki
Department of Neurosurgery, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi, Chuo, Yamanashi, Japan
Department of Neurosurgery, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi, Chuo, Yamanashi, Japan.
Interv Neuroradiol. 2015 Feb;21(1):88-93. doi: 10.15274/inr-2014-10104.
Dural arteriovenous fistula (DAVF) involving the hypoglossal canal is rare but increasingly reported. To achieve complete obliteration without a procedure-related complication, understanding of the precise anatomy of this DAVF is essential. Here, we describe a 72-year-old man who underwent selective intra-arterial injection computed tomography angiography which allowed us to understand the detailed anatomy of the complex DAVF regarding access routes and the target regions for transvenous embolization (TVE). With the aid of this novel neuroimaging technique successful target TVE was achieved safely and completely.
累及舌下神经管的硬脑膜动静脉瘘（DAVF）较为罕见，但报道日益增多。为实现完全闭塞且无手术相关并发症，了解此类DAVF的精确解剖结构至关重要。在此，我们描述了一名72岁男性，其接受了选择性动脉内注射计算机断层血管造影，这使我们能够了解复杂DAVF在经静脉栓塞（TVE）的入路和靶区方面的详细解剖结构。借助这项新型神经影像技术，成功且安全地实现了靶区TVE。
