Early rebleeding of a foramen magnum dural arteriovenous fistula: A case report and review of the literature

Autor: Takanari Okamoto, M.D., Masataka Nanto, Ph.D., M.D., Yohei Hasegawa, M.D., Yudai Goto, M.D., Hiroyuki Yamamoto, M.D., Takumi Yamanaka, Ph.D., M.D., Yoshinobu Takahashi, Ph.D., M.D., Hiroyasu Sasajima, Ph.D., M.D., Kimitoshi Sato, Ph.D., M.D., Fuminori Shimizu, M.D., Naoya Hashimoto, Ph.D., M.D.
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Radiology Case Reports, Vol 16, Iss 11, Pp 3499-3503 (2021)
Druh dokumentu: article
ISSN: 1930-0433
DOI: 10.1016/j.radcr.2021.08.038
Popis: Foramen magnum dural arteriovenous fistula (FM-DAVF) is a subset of craniocervical junction arteriovenous fistulas. We report a rare case of FM-DAVF with early rebleeding and review the literature. A 50-year-old man experienced 3 episodes of intracranial bleeding from a vessel malformation in the acute stage. We identified an FM-DAVF, supplied by multiple feeding arteries (eg, left ascending pharyngeal artery) that drained into the straight sinus and left superior petrosal sinus. The draining vein had venous varices. We performed transarterial feeder embolization and surgical disconnection of the DAVF. Early rebleeding of FM-DAVF is rare. High-risk patients require risk assessment and appropriate treatment as soon as possible in the acute stage.
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