Perimedullary Arteriovenous Fistula at the Craniocervical Junction -Case Report-
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- OHBA Shigeo
- Department of Neurosurgery, School of Medicine, Keio University Department of Neurosurgery, Ashikaga Red Cross Hospital
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- ONOZUKA Satoshi
- Department of Neurosurgery, School of Medicine, Keio University
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- HORIGUCHI Takashi
- Department of Neurosurgery, School of Medicine, Keio University
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- KAWASE Takeshi
- Department of Neurosurgery, School of Medicine, Keio University
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- YOSHIDA Kazunari
- Department of Neurosurgery, School of Medicine, Keio University
書誌事項
- タイトル別名
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- —Case Report—
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Perimedullary arteriovenous fistulas (AVFs) at the craniocervical junction are uncommon, and are often fed by the anterior spinal artery, with only a few cases fed by the intradural vertebral artery (VA). A 55-year-old man presented with a case of perimedullary AVF fed by the VA at the craniocervical junction manifesting as subarachnoid hemorrhage. Left vertebral angiography demonstrated an AVF supplied by branches from the VA. Three-dimensional computed tomography angiography (3D-CTA) revealed that the feeding arteries originated from the VA at the intradural position. Two feeding arteries were coagulated and dissected, followed by coagulation of a small feeder. The draining veins became discolored and shrank. 3D-CTA performed 2 months after the operation revealed disappearance of the AVF. Open surgery was successfully performed for the almost perimedullary AVF at the craniocervical junction, and is considered to be preferable for the treatment of this disease.<br>
収録刊行物
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- Neurologia medico-chirurgica
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Neurologia medico-chirurgica 51 (4), 299-301, 2011
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
- 1390282680034493568
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- NII論文ID
- 10028105271
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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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- 使用不可