Sigmoid Sinus Dural Arteriovenous Fistula With Spinal Venous Drainage Manifesting as Only Brainstem-Related Neurological Deficits Without Myelopathy
スポンサーリンク
概要
- 論文の詳細を見る
A 69-year-old woman presented with an extremely rare sigmoid sinus dural arteriovenous fistula (AVF) with venous drainage into a spinal perimedullary vein manifesting only as brainstem dysfunction without myelopathy. Cerebral angiography showed retrograde venous drainage into both the brainstem and spinal cord through the ipsilateral bridging vein from the affected isolated sigmoid sinus. Magnetic resonance (MR) imaging showed a hyperintense lesion in the medulla oblongata and lower pons with increased apparent diffusion coefficient (ADC), and enhancement with contrast material. The dural AVF was successfully treated by transfemoral transvenous embolization from the contralateral side, but the hyperintense area and neurological symptoms persisted after the treatment. The neurological deficits were probably due to venous hypertension associated with accessory retrograde venous drainage into the brainstem. MR imaging enhancement of the lesion may be more closely related to the prognosis of neurological deficits than the ADC value.
- 社団法人日本脳神経外科学会の論文
- 2009-02-15
著者
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SUGIURA Yasushi
Department of Endovascular Neurosurgery, Seirei Mikatahara Hospital
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NISHIZAWA Shigeru
Department of Neurosurgery, University of Occupational and Environmental Health
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Sugiura Yasushi
Department Of Endovascular Neurosurgery Seirei Mikatahara Hospital
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Nishizawa Shigeru
Department Of Neurosurgery University Of Occupational And Environmental Health
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Nishizawa Shigeru
Department Of Neurosurgery Hamamatsu University School Of Medicine
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Nozaki Takao
Department Of Neurosurgery Seirei Mikatahara Hospital
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SATO Haruhiko
Department of Neurosurgery, Seirei Mikatahara Hospital
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SAWASHITA Kouji
Department of Neurosurgery, Seirei Mikatahara Hospital
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HIRAMATSU Hisaya
Department of Neurosurgery, Hamamatsu University School of Medicine
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Sawashita Kouji
Department Of Neurosurgery Seirei Mikatahara Hospital
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Hiramatsu Hisaya
Department Of Neurosurgery Hamamatsu University School Of Medicine
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Sato Haruhiko
Department Of Allied Health Sciences Kitasato University
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Sato Haruhiko
Department Of Neurosurgery Seirei Mikatahara Hospital
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