The Potentiality for Development of Multiple Dural Arteriovenous Fistulas after Ligation of the Internal Jugular Vein: A Case Report

• Fudaba Hirotaka

  Department of Neurosurgery, Oita University Faculty of Medicine, Yufu, Oita, Japan

• Kubo Takeshi

  Department of Neurosurgery, Oita University Faculty of Medicine, Yufu, Oita, Japan

• Goda Makoto

  Department of Neurosurgery, Oita University Faculty of Medicine, Yufu, Oita, Japan

• Sugita Kenji

  Department of Neurosurgery, Oita University Faculty of Medicine, Yufu, Oita, Japan

• Morishige Masaki

  Department of Neurosurgery, Oita University Faculty of Medicine, Yufu, Oita, Japan

• Onishi Kouhei

  Department of Neurosurgery, Oita University Faculty of Medicine, Yufu, Oita, Japan

• Ishii Keisuke

  Department of Neurosurgery, Oita University Faculty of Medicine, Yufu, Oita, Japan

• Anan Mitsuhiro

  Department of Neurosurgery, National Hospital Organization Beppu Medical Center, Beppu, Oita, Japan

• Nagai Yasuyuki

  Department of Neurosurgery, National Hospital Organization Beppu Medical Center, Beppu, Oita, Japan

• Fujiki Minoru

  Department of Neurosurgery, Oita University Faculty of Medicine, Yufu, Oita, Japan

Abstract

A 74-year-old male presented with an intracranial hemorrhage caused by multiple dural arteriovenous fistulas (DAVFs) in the left transverse sinus and right sigmoid sinus. Four months previously, the patient underwent tongue cancer removal with lymph node dissection and ligation of the right internal jugular vein. Endovascular embolization (transvenous and transarterial embolization) resulted in the complete disappearance of the fistulas. Follow-up angiography revealed new arteriovenous shunts at the superior sagittal sinus and right transverse sinus, and we treated the patient with staged transarterial embolization. Finally, venous congestion almost completely resolved and the DAVFs disappeared without any sign of recurrence. This case speculates the concept of DAVF as an acquired lesion caused by intravenous hypertension and alerts clinicians to take precautions against ligation of the internal jugular vein during a cervical operation.

Journal

• NMC Case Report Journal

  NMC Case Report Journal 4 (3), 71-73, 2017

  The Japan Neurosurgical Society

Keywords

• dural arteriovenous fistula
• venous hypertension
• internal jugular vein
• endovascular surgery

Details

• CRID: 1390001205740859008
• NII Article ID: 130007040272
• DOI: 10.2176/nmccrj.cr.2016-0258
• ISSN: 21884226
• Web Site: https://www.jstage.jst.go.jp/article/nmccrj/4/3/4_cr.2016-0258/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2018212463
• Text Lang: en
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed