Medicine · 2025
Jugular foramen dural arteriovenous fistula: A case report and literature review.
СтатьяКлинический случайОбзорНазвание и аннотация: Перевод в очереди
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Yan Zhangcai, Hong Jingfang, Ji Jialong, Wu Xainqun, Wang Shousen, Liu Haibing
Аннотация
RATIONALE: Clinically, jugular foramen (JF) dural arteriovenous fistula (DAVF) is rare, and treatment is even more difficult.
PATIENT CONCERNS: A 67-year-old woman with progressive left eye distension and visual acuity decline.
DIAGNOSES: A digital subtraction angiography examination revealed a JFDAVF, which showed the feeding artery is ascending pharyngeal artery, with retrograde flow through the inferior petrosal sinus into the ophthalmic vein.
INTERVENTIONS: An endovascular interventional therapy method was chosen, Marathon microcatheter in synchro-10 Microguide wire auxiliary super selected to ascending pharyngeal artery, about 0.3 mL of 13% concentration GLUBRAN was injected with a Marathon microcatheter, post-embolization angiography confirmed obliteration of the fistula site.
OUTCOMES: Aspiration when drinking and hoarseness after endovascular embolization, after 3 days, the eye symptoms completely disappeared. after 3 months, no aspiration observed while drinking and normal articulation. the patient recovered well post-embolization.
LESSONS: Therefore, endovascular treatment is an appropriate choice for JFDAVF, but, arterial approach is very easy to develop neurological dysfunction.
PATIENT CONCERNS: A 67-year-old woman with progressive left eye distension and visual acuity decline.
DIAGNOSES: A digital subtraction angiography examination revealed a JFDAVF, which showed the feeding artery is ascending pharyngeal artery, with retrograde flow through the inferior petrosal sinus into the ophthalmic vein.
INTERVENTIONS: An endovascular interventional therapy method was chosen, Marathon microcatheter in synchro-10 Microguide wire auxiliary super selected to ascending pharyngeal artery, about 0.3 mL of 13% concentration GLUBRAN was injected with a Marathon microcatheter, post-embolization angiography confirmed obliteration of the fistula site.
OUTCOMES: Aspiration when drinking and hoarseness after endovascular embolization, after 3 days, the eye symptoms completely disappeared. after 3 months, no aspiration observed while drinking and normal articulation. the patient recovered well post-embolization.
LESSONS: Therefore, endovascular treatment is an appropriate choice for JFDAVF, but, arterial approach is very easy to develop neurological dysfunction.