经盖伦入路栓塞蝶顶窦硬脑膜动静脉瘘。

IF 1.2 Q4 CLINICAL NEUROLOGY
Dang-Khoi Tran, Minh-Anh Nguyen, Thanh-Tinh Truong, Yuang-Seng Tsuei, Quoc-Tuan Tran
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引用次数: 0

摘要

一位60岁出头的病人表现为头痛和右侧麻木。影像学显示左丘脑出血性病变,静脉充血累及左侧蝶顶窦,并通过罗森塔尔基底静脉和大脑浅中静脉引流。采用跨盖伦入路进行栓塞,使用线圈成功地消除了瘘管,没有逆行混浊。术后血管造影显示完全闭塞。本病例强调了经盖伦入路是一种安全有效的治疗复杂蝶顶窦硬膜动静脉瘘的策略,提供直接入路,同时最大限度地减少并发症并确保手术成功。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trans-Galen Approach for Embolization of Sphenoparietal Sinus Dural Arteriovenous Fistulas.

A patient in their early 60s presented with a headache and right-sided numbness. Imaging revealed a hemorrhagic lesion in the left thalamus and venous engorgement involving the left sphenoparietal sinus, with drainage through the basal vein of Rosenthal and the superficial middle cerebral vein. The trans-Galen approach was utilized for embolization, successfully obliterating the fistulas using coils without retrograde opacification. Post-procedure angiography demonstrated complete occlusion. This case underscores the trans-Galen approach as a safe and effective strategy for managing complex sphenoparietal sinus dural arteriovenous fistulas, providing direct access while minimizing complications and ensuring procedural success.

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来源期刊
CiteScore
1.80
自引率
0.00%
发文量
34
审稿时长
12 weeks
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