一例通过经静脉栓塞成功治疗的颅颈交界处硬脑膜动静脉瘘病例

IF 1.8 4区医学 Q3 CLINICAL NEUROLOGY

Clinical Neurology and Neurosurgery Pub Date : 2024-07-17 DOI:10.1016/j.clineuro.2024.108456

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引用次数: 0

摘要

发生在颅颈交界处（CCJ）的动静脉瘘（AVF）是一种不常见的血管畸形。一名 56 岁的男子因颈椎疼痛和步态障碍前来就诊。计算机断层扫描显示颈椎硬膜外腔有血肿。随后的脑血管造影显示，CCJ 处有硬膜外分流，诊断为硬膜外动静脉瘘（EDAVF）。在全身麻醉下进行的经静脉栓塞成功解决了分流问题。经动脉栓塞治疗 CCJ-EDAVF 有很大的缺血性并发症风险。相反，经静脉栓塞治疗缺血性并发症的风险较低，有可能成为治疗 CCJ-EDAVF 的有利选择。在此，我们介绍一例独特的 CCJ-EDAVF 病例，该病例通过经静脉栓塞治疗获得成功

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A case of dural arteriovenous fistula at the craniocervical junction successfully treated by transvenous embolization

Arteriovenous fistula (AVF) occurring within the craniocervical junction (CCJ) is an uncommon vascular anomaly. A 56-year-old man presented with cervical pain and gait disturbances. Computed tomography revealed a hematoma in the epidural space at the cervical spinal level. Subsequent cerebral angiography revealed an epidural shunt at the CCJ, leading to a diagnosis of epidural AVF (EDAVF). Transvenous embolization, performed under general anesthesia, successfully resolved the shunt. Transarterial embolization of CCJ-EDAVFs carries a substantial risk of ischemic complications. Conversely, transvenous embolization poses a lower risk of ischemic complications and has potential as a beneficial treatment option for CCJ-EDAVFs. Herein, we present a unique case of CCJ-EDAVF that was successfully treated with transvenous embolization

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来源期刊

Clinical Neurology and Neurosurgery 医学-临床神经学

CiteScore

3.70

自引率

5.30%

发文量

358

审稿时长

46 days

期刊介绍： Clinical Neurology and Neurosurgery is devoted to publishing papers and reports on the clinical aspects of neurology and neurosurgery. It is an international forum for papers of high scientific standard that are of interest to Neurologists and Neurosurgeons world-wide.