Anterior Cranial Fossa Dural Arteriovenous Fistula With Bilateral Cortical Drainers -Case Report-
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- KOHAMA Misaki
- Department of Neurosurgery, Aomori Prefectural Central Hospital
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- NISHIMURA Shinjitsu
- Department of Neurosurgery, Aomori Prefectural Central Hospital
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- MINO Masaki
- Department of Neurosurgery, Aomori Prefectural Central Hospital
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- HORI Emiko
- Department of Neurosurgery, Aomori Prefectural Central Hospital
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- YONEZAWA Shingo
- Department of Neurosurgery, Aomori Prefectural Central Hospital
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- KAIMORI Mitsuomi
- Department of Pathology, Aomori Prefectural Central Hospital
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- NISHIJIMA Michiharu
- Department of Neurosurgery, Aomori Prefectural Central Hospital
書誌事項
- タイトル別名
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- —Case Report—
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A 58-year-old man presented with sudden onset of severe headache. Computed tomography demonstrated subarachnoid hemorrhage and right acute subdural hematoma. He had no neurological deficits. Cerebral angiography showed an anterior cranial fossa dural arteriovenous fistula (AVF) supplied by the bilateral ethmoidal arteries. A fistula was suggested on the right side, and the dural AVF drained into the superior sagittal sinus via the bilateral frontal cortical veins. Venous varix was observed at both drainage sites. Bifrontal craniotomy with right-side dural incision was performed and the fistula was interrupted. Postoperative angiography demonstrated a persistent fistula draining into the left cortical vein. Nineteen days later, bifrontal craniotomy with left-side dural incision was performed and the draining vein was completely coagulated with the aid of intraoperative angiography. Postoperatively, there was no detectable residual fistula. He was discharged without neurological deficits 2 weeks after surgery. The present case of anterior cranial fossa dural AVF with bilateral cortical drainers shows that drainer occlusion at two points may be needed for complete obliteration of the drainers because the fistulous connection may not be simple.<br>
収録刊行物
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- Neurologia medico-chirurgica
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Neurologia medico-chirurgica 50 (3), 217-220, 2010
一般社団法人 日本脳神経外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282680033480448
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- NII論文ID
- 10025950689
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- NII書誌ID
- AN00358613
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- ISSN
- 13498029
- 04708105
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- 本文言語コード
- en
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- データソース種別
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- JaLC
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