Ozluoglu Levent N, Koycu A, Jafarov S, Hizal E, Boyvat F
Department of Otorhinolaryngology, Baskent University School of Medicine, 5. Sokak No: 48 Bahcelievler, Ankara, Turkey.
Department of Interventional Radiology, Baskent University School of Medicine, Ankara, Turkey.
Eur Arch Otorhinolaryngol. 2016 Sep;273(9):2843-6. doi: 10.1007/s00405-015-3772-9. Epub 2015 Sep 2.
Intracranial arteriovenous malformations are infrequent. Advances in endovascular treatment techniques have promoted the use of endovascular embolization in management of intracranial arteriovenous malformations. Transvenous or transarterial embolization procedures are effective options in the treatment of the arteriovenous fistulas. However, complications such as cranial nerve palsies may occur. Here, we present a case of right-sided lower motor neuron facial paralysis due to embolization of an intracranial dural arteriovenous fistula that have presented with clinical findings on the left eye. Facial functions of the patient improved from total weakness to House-Brackmann grade II, following facial nerve decompression surgery.
颅内动静脉畸形并不常见。血管内治疗技术的进步推动了血管内栓塞在颅内动静脉畸形治疗中的应用。经静脉或经动脉栓塞术是治疗动静脉瘘的有效选择。然而，可能会出现如颅神经麻痹等并发症。在此，我们报告一例因颅内硬脑膜动静脉瘘栓塞导致右侧下运动神经元性面瘫且伴有左眼临床表现的病例。在面神经减压手术后，患者的面部功能从完全无力改善至House-Brackmann二级。
