Anterior Cranial Fossa Dural Arteriovenous Fistulae Presenting as Subdural Hematoma
Journal of Korean Neurosurgical Society
; : 155-157, 2010.
Article
em En
| WPRIM
| ID: wpr-95218
Biblioteca responsável:
WPRO
ABSTRACT
Anterior cranial fossa dural arteriovenous fistulae (DAVFs) are very rare and the bleeding rate is very high, especially in the presence of leptomeningeal draining vein and aneurysmal varix formation. A 85-year-old male patient presented with subdural hematoma (SDH). Magnetic resonance image (MRI) and transfemoral carotid angiography (TFCA) disclosed DAVF at the anterior cranial fossa with bilateral arterial feeders and leptomeningeal draining vein with varix formation. The lesion was treated by simple ligation of pial connecting vein using low frontal craniotomy. In comparison with DAVFs of the other sites, the anterior cranial fossa DAVF is difficult to manage by endovascular treatment due to not only the difficulty of transvenous access but the risk of visual impairment when using transarterial route. Surgical ligation of pial connecting vein is feasible and effective treatment.
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Texto completo:
1
Índice:
WPRIM
Assunto principal:
Varizes
/
Veias
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Transtornos da Visão
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Angiografia
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Espectroscopia de Ressonância Magnética
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Craniotomia
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Malformações Vasculares do Sistema Nervoso Central
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Fossa Craniana Anterior
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Hematoma Subdural
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Hemorragia
Limite:
Aged
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Aged80
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Humans
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Male
Idioma:
En
Revista:
Journal of Korean Neurosurgical Society
Ano de publicação:
2010
Tipo de documento:
Article