Transvenous embolization of a posterior condylar canal fistula causing pulsatile tinnitus
Autor: | Giuseppe Lanzino, Harry J. Cloft, Waleed Brinjikji |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male medicine.medical_specialty Vertebral artery Arteriovenous fistula 030218 nuclear medicine & medical imaging Tinnitus 03 medical and health sciences 0302 clinical medicine Dural arteriovenous fistulas medicine.artery otorhinolaryngologic diseases medicine Humans Occipital artery Central Nervous System Vascular Malformations medicine.diagnostic_test business.industry Ascending pharyngeal artery Mandibular Condyle General Medicine medicine.disease Embolization Therapeutic Cerebral Angiography Surgery Suboccipital venous plexus Treatment Outcome medicine.anatomical_structure Neurology (clinical) business 030217 neurology & neurosurgery Condylar canal Cerebral angiography |
Zdroj: | Journal of NeuroInterventional Surgery. 13:680-680 |
ISSN: | 1759-8486 1759-8478 |
DOI: | 10.1136/neurintsurg-2020-016280 |
Popis: | Dural arteriovenous fistulas of the skull base commonly present with pulsatile tinnitus. In our experience, transvenous embolization of dural arteriovenous fistulas of the skull base represents a safe and effective treatment modality due to its precision in treatment of the site of convergence of all feeding arteries and the low risk of ischemic complications. We present a case of an adult patient who presented to our institution with pulsatile tinnitus several months following a motor vehicle accident. Cerebral angiography demonstrated a dural arteriovenous fistula at the junction of the posterior condylar vein and suboccipital venous plexus supplied by branches of the vertebral artery, occipital artery, and ascending pharyngeal artery. In this operative video we demonstrate this technique and provide an in-depth discussion of our treatment decision-making process and the anatomical considerations involved in treating this lesion.Video 1 |
Databáze: | OpenAIRE |
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