書誌事項
- タイトル別名
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- Pial Arteriovenous Fistula of the Posterior Cranial Fossa Treated by Preoperative Embolization and Direct Surgery: A Case Report
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抄録
The incidence of pial arteriovenous fistulas (pAVFs) is low, and most cases are treated by interrupting the shunt via endovascular or direct surgery. In the present report, we describe a very rare case of pAVF and discuss the treatment and pathological findings of such cases in the literature. A 63-year-old woman presented with a sudden headache and vomiting. Computed tomography (CT) indicated the presence of a subarachnoid hemorrhage, but she was treated conservatively. The hematoma size gradually decreased and her neurological findings remained unchanged. Angiography indicated the presence of pAVF. The fistula was fed by small branches of the common trunk between the right anterior inferior cerebellar artery and posterior inferior cerebellar artery, and drained into the varix. Feeder occlusion was performed through Histoacryl infusion under local anesthesia. One day after embolization, the patient underwent right suboccipital craniotomy, and the pAVF was extirpated by electrocoagulation. Postoperative angiography indicated that the fistula had disappeared. She was discharged without any new neurological deficits. Thus, pAVF was treated in a more safe and reliable manner with combined therapy as compared to one-staged therapy.
収録刊行物
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- 脳卒中の外科
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脳卒中の外科 43 (1), 58-62, 2015
一般社団法人 日本脳卒中の外科学会
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詳細情報 詳細情報について
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- CRID
- 1390001204670788224
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- NII論文ID
- 130005062347
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- ISSN
- 18804683
- 09145508
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可