Recurrence of the cavernous sinus dural arteriovenous fistula at adjacent sinuses following repeated transvenous embolizations : case report and literature review

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著者

    • HIU Takeshi
    • Department of Neurosurgery, Nagasaki University Graduate School of Biomedical Sciences
    • HORIE Nobutaka
    • Department of Neurosurgery, Nagasaki University Graduate School of Biomedical Sciences
    • HAYASHI Kentaro
    • Department of Neurosurgery, Nagasaki University Graduate School of Biomedical Sciences
    • KITAGAWA Naoki
    • Department of Neurosurgery, Nagasaki University Graduate School of Biomedical Sciences
    • MORIKAWA Minoru
    • Department of Radiology, Nagasaki University Graduate School of Biomedical Sciences
    • KAWAKUBO Junichi
    • Department of Neurosurgery, Nagasaki University Graduate School of Biomedical Sciences
    • TSUTSUMI Keisuke
    • Department of Neurosurgery, Nagasaki University Graduate School of Biomedical Sciences
    • SUYAMA Kazuhiko
    • Department of Neurosurgery, Nagasaki University Graduate School of Biomedical Sciences
    • NAGATA Izumi
    • Department of Neurosurgery, Nagasaki University Graduate School of Biomedical Sciences

抄録

We present a unique case of a cavernous sinus (CS) dural arteriovenous fistula (DAVF), which recurred at adjacent sinuses following repeated transvenous embolizations (TVEs). A 68-year-old woman presented with progressive left conjunctival chemosis and diplopia. Cerebral angiography revealed a left CS DAVF, which was completely obliterated by TVE via the left inferior petrosal sinus (IPS). Two years later, the DAVF recurred in the left IPS, and again in the left sigmoid sinus (SS) 3 years after the initial treatment in spite of a second TVE. Moreover, the left SS and the left internal jugular vein, which had been previously stenotic, had been occluded. The third TVE resulted in the complete obliteration of the SS DAVF. CS DAVFs may recur at adjacent sinuses even after complete obliteration by TVE. Careful follow-up is necessary to check for the recurrence of DAVFs, especially in cases with venous flow changes, such as sinus occlusion, following endovascular treatment.

収録刊行物

  • Radiation Medicine : medical imaging and radiation oncology  

    Radiation Medicine : medical imaging and radiation oncology 26(7), 431-437, 2008-08-25 

    Springer Japan

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