Jugular foramen dural arteriovenous fistula: A case report and literature review.

RATIONALE

Clinically, jugular foramen (JF) dural arteriovenous fistula (DAVF) is rare, and treatment is even more difficult.

PATIENT CONCERNS

A 67-year-old woman with progressive left eye distension and visual acuity decline.

DIAGNOSES

A digital subtraction angiography examination revealed a JFDAVF, which showed the feeding artery is ascending pharyngeal artery, with retrograde flow through the inferior petrosal sinus into the ophthalmic vein.

INTERVENTIONS

An endovascular interventional therapy method was chosen, Marathon microcatheter in synchro-10 Microguide wire auxiliary super selected to ascending pharyngeal artery, about 0.3 mL of 13% concentration GLUBRAN was injected with a Marathon microcatheter, post-embolization angiography confirmed obliteration of the fistula site.

OUTCOMES

Aspiration when drinking and hoarseness after endovascular embolization, after 3 days, the eye symptoms completely disappeared. after 3 months, no aspiration observed while drinking and normal articulation. the patient recovered well post-embolization.

LESSONS

Therefore, endovascular treatment is an appropriate choice for JFDAVF, but, arterial approach is very easy to develop neurological dysfunction.