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使用可脱卸弹簧圈经静脉栓塞舌下神经管硬脑膜动静脉瘘:一例报告

Transvenous coil embolization of hypoglossal canal dural arteriovenous fistula using detachable coils: A case report.

作者信息

Kye Su Min, Ahn Jun Hyong, Lee Heui Seung, Kim Ji Hee, Oh Jae Keun, Song Joon Ho, Chang In Bok

机构信息

Department of Neurosurgery, Hallym University Sacred Heart Hospital, Anyang, Korea.

出版信息

J Cerebrovasc Endovasc Neurosurg. 2022 Jun;24(2):166-171. doi: 10.7461/jcen.2021.E2021.08.004. Epub 2021 Oct 26.

DOI:10.7461/jcen.2021.E2021.08.004
PMID:34696553
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9260460/
Abstract

The hypoglossal canal (HC) is an unusual location of the posterior fossa dural arteriovenous fistula (AVF), which usually occurs in the transverse or sigmoid sinus. Herein, we report a case of HC dural AVF successfully treated with transvenous coil embolization using detachable coils in a 68-year-old woman who presented with headache and left pulsatile tinnitus for 2 months. Brain magnetic resonance imaging (MRI) and cerebral angiography revealed left HC dural AVF. The pulsatile bruit disappeared immediately after the procedure. Follow-up MRI showed complete disappearance of the fistula. Precise localization of the fistula through careful consideration of the anatomy and transvenous coil embolization using a detachable coil can facilitate the treatment for HC dural AVF.

摘要

舌下神经管(HC)是后颅窝硬脑膜动静脉瘘(AVF)的一个不寻常位置,硬脑膜动静脉瘘通常发生在横窦或乙状窦。在此,我们报告一例68岁女性舌下神经管硬脑膜动静脉瘘病例,该患者因头痛和左侧搏动性耳鸣2个月就诊,采用可脱卸弹簧圈经静脉弹簧圈栓塞术成功治疗。脑磁共振成像(MRI)和脑血管造影显示为左侧舌下神经管硬脑膜动静脉瘘。术后搏动性杂音立即消失。随访MRI显示瘘完全消失。通过仔细考虑解剖结构精确瘘定位并使用可脱卸弹簧圈经静脉弹簧圈栓塞术可促进舌下神经管硬脑膜动静脉瘘的治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc22/9260460/0cbc64164f75/jcen-2021-e2021-08-004f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc22/9260460/d1c273b21f9d/jcen-2021-e2021-08-004f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc22/9260460/e84eb3d5d31a/jcen-2021-e2021-08-004f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc22/9260460/73bd36445160/jcen-2021-e2021-08-004f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc22/9260460/0cbc64164f75/jcen-2021-e2021-08-004f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc22/9260460/d1c273b21f9d/jcen-2021-e2021-08-004f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc22/9260460/e84eb3d5d31a/jcen-2021-e2021-08-004f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc22/9260460/73bd36445160/jcen-2021-e2021-08-004f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc22/9260460/0cbc64164f75/jcen-2021-e2021-08-004f4.jpg

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引用本文的文献

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本文引用的文献

1
Hypoglossal canal dural arteriovenous fistula: incidence and the relationship between symptoms and drainage pattern.舌下神经管硬脑膜动静脉瘘:发生率及症状与引流模式的关系。
J Neurosurg. 2013 Oct;119(4):955-60. doi: 10.3171/2013.4.JNS121974. Epub 2013 May 31.
2
Characteristics, diagnosis and treatment of hypoglossal canal dural arteriovenous fistula: report of nine cases.舌下神经管硬脑膜动静脉瘘的特征、诊断与治疗:9例报告
Neuroradiology. 2008 Aug;50(8):715-21. doi: 10.1007/s00234-008-0393-7. Epub 2008 Apr 25.
3
Endovascular treatment for dural arteriovenous fistula of the anterior condylar vein with unusual venous drainage: report of two cases.
经血管内治疗前髁静脉硬脑膜动静脉瘘伴异常静脉引流:两例报告
AJNR Am J Neuroradiol. 2005 Sep;26(8):1955-9.
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The craniocervical venous system in relation to cerebral venous drainage.与脑静脉引流相关的颅颈静脉系统。
AJNR Am J Neuroradiol. 2002 Oct;23(9):1500-8.
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Three cases of dural arteriovenous fistula of the anterior condylar vein within the hypoglossal canal.舌下神经管内髁前静脉硬脑膜动静脉瘘三例。
AJNR Am J Neuroradiol. 1999 Nov-Dec;20(10):2016-20.
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Isolated unilateral hypoglossal neuropathy caused by dural arteriovenous fistula.硬脑膜动静脉瘘引起的孤立性单侧舌下神经病变
AJNR Am J Neuroradiol. 1998 May;19(5):951-3.
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Dural arteriovenous fistulas involving the inferior petrosal sinus: angiographic findings in six patients.累及岩下窦的硬脑膜动静脉瘘:6例患者的血管造影表现
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