Journal of Neuroendovascular Therapy
Online ISSN : 2186-2494
Print ISSN : 1882-4072
Case Reports
A Patient with a Dural Arteriovenous Fistula at the Craniocervical Junction in Whom Endovascular Treatment Was Initially Performed, Followed by Surgical Management
Junya KanekoAmi ShibataAkiko KitahashiSaori KudoKyoko UnemotoHidenori YamaguchiMichio YamazakiTomonori TamakiGaku MatsumotoHiroyuki YokotaAkio Hyodo
ジャーナル オープンアクセス

2018 年 12 巻 5 号 p. 241-246


Objective: Dural arteriovenous fistulae at craniocervical junction (CCJ dAVF) cause subarachnoid hemorrhage (SAH). We present a case of CCJ dAVF with SAH in which endovascular treatment was initially performed, followed by surgical management, leading to radical cure.

Case Presentation: Transarterial embolization was initially performed because of unfavorable clinical condition of the patient, resulted in main feeder occlusion. As this made the shunting point clearer, surgical drainer occlusion consequently facilitated, and radical cure could be achieved.

Conclusion: To treat CCJ dAVF, endovascular treatment and surgical management were performed. The former alone did not result in radical cure, but decreased the shunt volume, facilitating the assessment of vascular anatomy.

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