Lee Jung Hwan, Lee Jae Il, Ko Jun Kyeung, Lee Tae Hong, Choi Chang Hwa
Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital, Busan, Korea.
Department of Diagnostic radiology, Medical Research Institute, Pusan National University Hospital, Busan, Korea.
Korean J Neurotrauma. 2022 Feb 14;18(1):104-109. doi: 10.13004/kjnt.2022.18.e8. eCollection 2022 Apr.
A dural arteriovenous fistula (DAVF) is a pathologic arteriovenous shunt located within the dural wall of a venous sinus. In addition, DAVFs are associated with sinus thrombosis. Consequently, sinus occlusion may occur near DAVF lesions, making treatment challenging. However, there are few reports of sinus occlusion unrelated to lesions. In this study, we present a rare case of contralateral transverse sinus occlusion in a patient who underwent endovascular treatment and stereotactic radiosurgery for DAVF in the transverse-sigmoid sinus with ipsilateral sigmoid sinus occlusion.
硬脑膜动静脉瘘(DAVF)是位于静脉窦硬脑膜壁内的病理性动静脉分流。此外,DAVF与窦血栓形成有关。因此,在DAVF病变附近可能发生窦闭塞,这使得治疗具有挑战性。然而,很少有与病变无关的窦闭塞的报道。在本研究中,我们报告了1例罕见的对侧横窦闭塞病例,该患者因横窦-乙状窦DAVF伴同侧乙状窦闭塞接受了血管内治疗和立体定向放射外科治疗。