Brain stem ischemia from intracranial dural arteriovenous fistula: case report
| Autor: | Mitsuo Kuriyama, Koji Tokunaga, Takashi Fujiwara, Motoyoshi Satoh, Kenji Sugiu |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Intracranial Arteriovenous Malformations congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Subarachnoid hemorrhage Brain Stem Infarctions medicine.medical_treatment Arteriovenous fistula Cranial Sinuses Neurosurgical Procedures Brain Ischemia Myelopathy Dural arteriovenous fistulas otorhinolaryngologic diseases medicine Humans cardiovascular diseases Embolization Internal jugular vein Lateral Medullary Syndrome Medulla Oblongata medicine.diagnostic_test business.industry Arteriovenous malformation Prostheses and Implants medicine.disease Embolization Therapeutic Magnetic Resonance Imaging Surgery Cerebral Angiography Treatment Outcome Spinal Cord Female Neurology (clinical) Radiology business Vascular Surgical Procedures Cerebral angiography |
| Zdroj: | Surgical neurology. 64(4) |
| ISSN: | 0090-3019 |
| Popis: | Background Intracranial dural arteriovenous fistulas (AVFs) with spinal perimedullary venous drainage are rarely reported, but most of the patients initially have presented with myelopathy or subarachnoid hemorrhage. This is the first report of the intracranial dural AVF patient who presented with brain stem infarction. Case Description A 38-year-old woman experienced nausea and vomiting with an acute onset, followed by vertigo. Magnetic resonance imaging showed ischemic lesion in the medulla oblongata, and she was then sent to our hospital. On admission, she had nystagmus, swallowing difficulties, Horner syndrome, and right hemiparesis and hemisensory disturbance. Cerebral angiography revealed dural AVF draining into spinal perimedullary veins at the left transverse-sigmoid sinus. The patient was treated by transvenous embolization under local anesthesia. A microcatheter proceeded to the left sigmoid sinus via the internal jugular vein, and embolization of the sinus was performed using coils without complications. The patient's swallowing difficulties improved over a few days after the embolization, and 1 month later, there remained only a right mild hemiparesis and hemisensory disturbance. Six months after the onset, there was no ischemic lesion in the brain stem on magnetic resonance imaging. Conclusions In this case, we showed the possibility of brain stem infarction, caused by the intracranial dural AVF. |
| Databáze: | OpenAIRE |
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