A Patient with a Cavernous Sinus Dural Arteriovenous Fistula in Whom an Approach through the Jugular Venous Arch Involving Facial Vein Return Was Adopted

Takayuki Nagase; Koji Tokunaga; Kyoichi Watanabe; Tsuyoshi Umeda; Yasuki Suruga; Yuji Takasugi; Satoshi Inoue; Hideki Kiriyama; Kengo Matsumoto

doi:10.5797/jnet.cr.2020-0033

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引用する場合も本公開記事を引用してください。

A Patient with a Cavernous Sinus Dural Arteriovenous Fistula in Whom an Approach through the Jugular Venous Arch Involving Facial Vein Return Was Adopted

Takayuki Nagase, Koji Tokunaga, Kyoichi Watanabe, Tsuyoshi Umeda, Yasuki Suruga, Yuji Takasugi, Satoshi Inoue, Hideki Kiriyama, Kengo Matsumoto

著者情報

Takayuki Nagase
Department of Neurosurgery, Okayama City Hospital, Okayama City General Medical Center, Okayama, Okayama, Japan
Koji Tokunaga
Department of Neurosurgery, Okayama City Hospital, Okayama City General Medical Center, Okayama, Okayama, Japan
Kyoichi Watanabe
Department of Neurosurgery, Okayama City Hospital, Okayama City General Medical Center, Okayama, Okayama, Japan
Tsuyoshi Umeda
Department of Neurosurgery, Okayama City Hospital, Okayama City General Medical Center, Okayama, Okayama, Japan
Yasuki Suruga
Department of Neurosurgery, Okayama City Hospital, Okayama City General Medical Center, Okayama, Okayama, Japan
Yuji Takasugi
Department of Neurosurgery, Okayama City Hospital, Okayama City General Medical Center, Okayama, Okayama, Japan
Satoshi Inoue
Department of Neurosurgery, Okayama City Hospital, Okayama City General Medical Center, Okayama, Okayama, Japan
Hideki Kiriyama
Department of Neurosurgery, Okayama City Hospital, Okayama City General Medical Center, Okayama, Okayama, Japan
Kengo Matsumoto
Department of Neurosurgery, Okayama City Hospital, Okayama City General Medical Center, Okayama, Okayama, Japan

キーワード: dural arteriovenous fistula, coil embolization, jugular venous arch

ジャーナルオープンアクセス早期公開

論文ID: cr.2020-0033

DOI https://doi.org/10.5797/jnet.cr.2020-0033

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. 15 (2021), No. 3 pp. 164-169

詳細

抄録

Objective: We report the case of a cavernous sinus dural arteriovenous fistula (CSdAVF) treated by transvenous embolization (TVE) via the jugular venous arch (JVA) connecting bilateral superficial cervical veins.

Case Presentation: A male patient in his 50s presenting with diplopia and headache was diagnosed with a CSdAVF. The first session of TVE resulted in incomplete obliteration of the fistula due to poor accessibility through the inferior petrosal sinus (IPS), and postoperative computed tomography angiography (CTA) disclosed a newly developed drainage route into the facial vein (FV) connecting to the anterior jugular vein (AJV) and the JVA. The patient underwent the second session of TVE through the JVA, FV, and the superior ophthalmic vein (SOV), and obliteration was achieved.

Conclusion: There is a considerable variation in the anatomy of facio-cervical veins in patients with CSdAVF. Meticulous preoperative evaluation of the venous drainage route using modern diagnostic tools is indispensable to achieve successful results in patients with CSdAVF.

責任著者(Corresponding author)

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