A Patient with a Dural Arteriovenous Fistula at the Craniocervical Junction in Whom Endovascular Treatment was Initially Performed, Followed by Surgical Management

Junya Kaneko; Ami Shibata; Akiko Kitahashi; Saori Kudo; Kyoko Unemoto; Hidenori Yamaguchi; Michio Yamazaki; Tomonori Tamaki; Gaku Matsumoto; Hiroyuki Yokota; Akio Hyodo

doi:10.5797/jnet.cr.2017-0011

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A Patient with a Dural Arteriovenous Fistula at the Craniocervical Junction in Whom Endovascular Treatment was Initially Performed, Followed by Surgical Management

Junya Kaneko, Ami Shibata, Akiko Kitahashi, Saori Kudo, Kyoko Unemoto, Hidenori Yamaguchi, Michio Yamazaki, Tomonori Tamaki, Gaku Matsumoto, Hiroyuki Yokota, Akio Hyodo

著者情報

キーワード: craniocervical junction, dural arteriovenous fistula, subarachnoid hemorrhage, endovascular treatment, craniotomy

ジャーナルオープンアクセス早期公開

論文ID: cr.2017-0011

DOI https://doi.org/10.5797/jnet.cr.2017-0011

この記事には本公開記事があります。

The final version of this article is now available: Vol. 12 (2018), No. 5 pp. 241-246

詳細

抄録

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.

責任著者(Corresponding author)

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