经外侧裂静脉对皮质引流型颈内动脉海绵窦瘘进行手术经静脉栓塞术。
Surgical transvenous embolization of a cortically draining carotid cavernous fistula via a vein of the sylvian fissure.
作者信息
Kuwayama N, Endo S, Kitabayashi M, Nishijima M, Takaku A
机构信息
Department of Neurosurgery, Toyama Medical & Pharmaceutical University, Japan.
出版信息
AJNR Am J Neuroradiol. 1998 Aug;19(7):1329-32.
Abstract
Percutaneous transvenous embolization is one of the most effective treatments of intracranial dural arteriovenous fistulas (AVFs) involving the dural sinuses. We present a unique case of surgical transvenous embolization in a 48-year-old man with a dural AVF of the cavernous sinus who presented with intracerebral hematoma. The dural AVF drained only into the vein of the sylvian fissure on angiography. Transvenous embolization via the vein of the sylvian fissure during craniotomy obliterated the AVF completely.
摘要
经皮经静脉栓塞术是治疗累及硬脑膜窦的颅内硬脑膜动静脉瘘（AVF）最有效的方法之一。我们报告了一例独特的手术经静脉栓塞病例，患者为一名48岁男性，患有海绵窦硬脑膜AVF并伴有脑内血肿。血管造影显示该硬脑膜AVF仅引流至外侧裂静脉。开颅手术期间通过外侧裂静脉进行经静脉栓塞术完全闭塞了该AVF。
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