頭蓋頚椎移行部硬膜動静脈瘻の検討

概要

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We studied three patients with craniocervical junction dural arteriovenous fistulae (CCJ-DAVF). Although more than thirty cases with CCJ-DAVF had been reported, the clinical features, diagnosis and treatment of CCJ-DAVF remain unclear. We reported on our three patients with CCJ-DAVF. Two cases involved an intracranial hemorrhage and the third was found incidentally. In all cases, direct surgery was performed and the draining vein was interrupted. Complete cure in the three cases was confirmed on postoperative angiography. It was difficult to distinguish CCJ-DAVF from craniocervical junction perimedullary arteriovenous fistula (CCJ-PAVF). Intraoperative digital subtraction angiography was useful in confirming the diagnosis of CCJ-DAVF. We reviewed the reported cases with CCJ-DAVF and studied the clinical features, neuroladiological findings, and surgical management of CCJ-DAVF.
日本脊髄外科学会の論文
2002-11-30