Atypical Dural Arteriovenous Fistula Associated With Meningitis -Case Report-
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- TSUTSUMI Satoshi
- Department of Neurosurgery, Juntendo University Urayasu Hospital
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- YASUMOTO Yukimasa
- Department of Neurosurgery, Juntendo University Urayasu Hospital
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- ITO Masanori
- Department of Neurosurgery, Juntendo University Urayasu Hospital
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- OISHI Hidenori
- Department of Neurosurgery, Juntendo University Hospital
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- ARAI Hajime
- Department of Neurosurgery, Juntendo University Hospital
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- YORITAKA Asako
- Department of Neurology, Juntendo University Urayasu Hospital
書誌事項
- タイトル別名
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- —Case Report—
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A 49-year-old male presented with hemisensory disturbance and gait unsteadiness following a previous episode of meningitis. He had no contributory medical or head injury history. Magnetic resonance imaging revealed innumerable medullary vessels in the white matter of the left cerebral hemisphere, which had not been recognized in the previous imaging study. Cerebral angiography showed variant superior sagittal sinus (SSS) arteriovenous fistula (AVF) fed by the bilateral middle meningeal and superficial temporal arteries, and drained directly to the cortical veins with marked venous engorgement in the affected hemisphere. The fistulas were located on the cortical veins, apart from the SSS. Initial percutaneous transarterial embolization failed, so the AVF was completely obliterated with a combination of surgical and endovascular techniques. The symptoms ameliorated postoperatively. Meningitis may be an underlying pathology of dural AVF. Variant SSS AVF can be treated with a combination of surgical and endovascular techniques.<br>
収録刊行物
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- Neurologia medico-chirurgica
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Neurologia medico-chirurgica 48 (2), 68-71, 2008
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
- 1390001205052851712
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- NII論文ID
- 110006596199
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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