Perimedullary Arteriovenous Fistula at the Craniocervical Junction : Case Report
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概要
- 論文の詳細を見る
Perimedullary arteriovenous fistulas (AVFs) at the craniocervical junction are uncommon, and are often fed by the anterior spinal artery, with only a few cases fed by the intradural vertebral artery (VA). A 55-year-old man presented with a case of perimedullary AVF fed by the VA at the craniocervical junction manifesting as subarachnoid hemorrhage. Left vertebral angiography demonstrated an AVF supplied by branches from the VA. Three-dimensional computed tomography angiography (3D-CTA) revealed that the feeding arteries originated from the VA at the intradural position. Two feeding arteries were coagulated and dissected, followed by coagulation of a small feeder. The draining veins became discolored and shrank. 3D-CTA performed 2 months after the operation revealed disappearance of the AVF. Open surgery was successfully performed for the almost perimedullary AVF at the craniocervical junction, and is considered to be preferable for the treatment of this disease.
- 2011-04-15
著者
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Kawase Takeshi
Department Of Neurosurgery School Of Medicine Keio University
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Kawase Takeshi
Department Of Chemistry Graduate School Of Science Osaka University
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Ohba Shigeo
Department Of Neurosurgery Ashikaga Red Cross Hospital
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Ohba Shigeo
Department Of Neurosurgery Keio University School Of Medicine
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Yoshida Kazunari
Department Of Neurosurgery School Of Medicine Keio University
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Onozuka Satoshi
Department Of Neurosurgery Ashikaga Red Cross Hospitol
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Onozuka Satoshi
Department Of Neurosurgery School Of Medicine Keio University
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Yoshida Kazunari
Department Of Neurosurgery Keio University School Of Medicine
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Horiguchi Takashi
Department Of Anesthesia And Intensive Care Akita University School Of Medicine
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Yoshida Kazunari
Departments Of Neurosurgery School Of Medicine Keio University
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Kuroshima Yoshiaki
Department Of Neurosurgery School Of Medicine Keio University
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Kawase Takeshi
Department Of Chemistry Faculty Of Science Osaka University
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Horiguchi Takashi
Department Of Neurosurgery School Of Medicine Keio University
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HORIGUCHI Takashi
Department of Neurosurgery, School of Medicine, Keio University
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