How I do it? surgical resection of craniocervical junction dural arteriovenous fistula.

Autor: Yang Z; Department of Neurosurgery, National Center for Neurological Disorders, Huashan Hospital, Shanghai Medical College, Fudan University, No. 12 Wulumuqi Zhong Road, Shanghai, 200040, China.; Department of Neurosurgery, National Regional Medical Center, Huashan Hospital Fujian Campus, Fudan University, Fuzhou, Fujian, 350209, China.; Neurosurgical Institute of Fudan University, Shanghai, 200040, China.; Shanghai Clinical Medical Center of Neurosurgery, Shanghai, 200040, China.; Shanghai Key Laboratory of Brain Function Restoration and Neural Regeneration, Shanghai, 200040, China.; Research Unit of New Technologies of Micro-Endoscopy Combination in Skull Base Surgery (2018RU008), Chinese Academy of Medical Sciences (CAMS), Shanghai, 200040, China., Su X; Department of Neurosurgery, The First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian, 350004, China.; Department of Neurosurgery, The First Affiliated Hospital Binhai Campus, National Regional Medical Center, Fujian Medical University, Fuzhou, Fujian, 350209, China., Wang Z; Department of Neurosurgery, The First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian, 350004, China.; Department of Neurosurgery, The First Affiliated Hospital Binhai Campus, National Regional Medical Center, Fujian Medical University, Fuzhou, Fujian, 350209, China., Song J; Department of Neurosurgery, National Center for Neurological Disorders, Huashan Hospital, Shanghai Medical College, Fudan University, No. 12 Wulumuqi Zhong Road, Shanghai, 200040, China. Neurosurgerysong@foxmail.com.; Department of Neurosurgery, National Regional Medical Center, Huashan Hospital Fujian Campus, Fudan University, Fuzhou, Fujian, 350209, China. Neurosurgerysong@foxmail.com.; Neurosurgical Institute of Fudan University, Shanghai, 200040, China. Neurosurgerysong@foxmail.com.; Shanghai Clinical Medical Center of Neurosurgery, Shanghai, 200040, China. Neurosurgerysong@foxmail.com.; Shanghai Key Laboratory of Brain Function Restoration and Neural Regeneration, Shanghai, 200040, China. Neurosurgerysong@foxmail.com.; Research Unit of New Technologies of Micro-Endoscopy Combination in Skull Base Surgery (2018RU008), Chinese Academy of Medical Sciences (CAMS), Shanghai, 200040, China. Neurosurgerysong@foxmail.com.
Jazyk: angličtina
Zdroj: Acta neurochirurgica [Acta Neurochir (Wien)] 2024 Dec 16; Vol. 166 (1), pp. 502. Date of Electronic Publication: 2024 Dec 16.
DOI: 10.1007/s00701-024-06399-y
Abstrakt: Background: Craniocervical junction (CCJ) dural arteriovenous fistulas (DAVFs) represent a rare yet critical vascular anomaly that may result in significant neurological impairments.
Method: We report the case of a 52-year-old male with a history of medullary hemorrhage who underwent surgical intervention for a left CCJ DAVF. Through comprehensive surgical planning and meticulous intraoperative monitoring, multiple feeders of the DAVF were safely coagulated and transected, with successful DAVF obliteration confirmed by intraoperative angiography.
Conclusion: The patient demonstrated full recovery, underscoring the efficacy of surgical management in complex cases facilitated by advanced techniques in a hybrid operating theatre.
Competing Interests: Declarations. Ethics approval: All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study was approved by Huashan Hospital Institutional Review Board (HIRB), Fudan University, Shanghai, China. Consent for publication: It represents a video of a surgical case. The patient gave approval for this publication. Competing interests: The authors declare no competing interests.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.)
Databáze: MEDLINE
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