Targeted Transarterial Embolization for Treatment of a Symptomatic Venous Varix in the Draining Vein of an Arteriovenous Malformation: Case Report and Literature Review.

IF 0.9 4区医学 Q4 CLINICAL NEUROLOGY

Journal of neurological surgery. Part A, Central European neurosurgery Pub Date : 2024-06-14 DOI:10.1055/a-2344-8555

Erika Yamada, Yoshiro Ito, Masayuki Sato, Aiki Marushima, Mikito Hayakawa, Eiichi Ishikawa, Yuji Matsumaru

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Abstract

Background: Venous varices in the draining vein of arteriovenous malformations (AVMs) can result in compression symptoms. This condition is extremely rare, and its treatments and long-term outcomes are unresolved. Herein, we describe the treatment of a thrombosed venous varix in a draining vein and review the relevant literature.

Patient: The patient presented with progressive right-sided hemiparalysis and aphasia. Magnetic resonance imaging revealed flow void accumulation from the corpus callosum to the left ventricle and a 30-mm mass in the left putamen. The patient underwent targeted transarterial embolization to reduce the blood flow to the venous varix and relieve the neurological symptoms. The patient had recovered completely from the right hemiparesis and aphasia 4 years after treatment, with a modified Rankin Scale score of 0.

Conclusion: Targeted transarterial embolization for symptomatic venous varix is a palliative treatment that may improve long-term functional outcomes.

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经动脉栓塞治疗动静脉畸形引流静脉中的症状性静脉曲张：病例报告与文献综述。

背景：动静脉畸形（AVM）引流静脉中的静脉曲张会导致压迫症状。这种情况极为罕见，其治疗方法和长期疗效也未得到解决。在此，我们介绍了引流静脉血栓性静脉曲张的治疗方法，并回顾了相关文献：患者：患者出现进行性右侧偏瘫和失语。磁共振成像显示，从胼胝体到左心室的血流空洞积聚，左侧大脑正中有一个 30 毫米的肿块。患者接受了有针对性的经动脉栓塞治疗，减少了静脉曲张的血流量，缓解了神经症状。治疗 4 年后，患者的右侧偏瘫和失语症完全康复，修改后的 Rankin 量表评分为 0.：经动脉靶向栓塞治疗症状性静脉曲张是一种姑息治疗方法，可改善长期功能预后。

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来源期刊

Journal of neurological surgery. Part A, Central European neurosurgery CLINICAL NEUROLOGY-SURGERY

CiteScore

2.30

自引率

0.00%

发文量

期刊介绍： The Journal of Neurological Surgery Part A: Central European Neurosurgery (JNLS A) is a major publication from the world''s leading publisher in neurosurgery. JNLS A currently serves as the official organ of several national neurosurgery societies. JNLS A is a peer-reviewed journal publishing original research, review articles, and technical notes covering all aspects of neurological surgery. The focus of JNLS A includes microsurgery as well as the latest minimally invasive techniques, such as stereotactic-guided surgery, endoscopy, and endovascular procedures. JNLS A covers purely neurosurgical topics.