Surgical neurology international · 2024
Brainstem congestion as the initial presentation of cavernous sinus dural arteriovenous fistula without ocular symptoms.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Goto Hiroki, Fujita Atsushi, Nakamura Naoto, Kohta Masaaki, Sasayama Takashi
Аннотация
BACKGROUND: Cavernous sinus dural arteriovenous fistula (CSDAVF) is an abnormal arteriovenous connection involving the dura mater within or adjacent to the wall of the cavernous sinus. While cases with superior ophthalmic vein drainage and ocular symptoms are typical, we report a rare case of CSDAVF draining into the perimedullary vein of the medulla oblongata and spinal cord and causing cerebellar ataxia and myelopathy as the initial presentation.
CASE DESCRIPTION: A 73-year-old man presented with vertigo and rapidly progressing gait disturbance. Digital subtraction angiography revealed a left CSDAVF draining only into the spinal perimedullary veins, which was classified as Cognard type V. We performed a transvenous embolization through the occluded left inferior petrosal sinus and achieved a super-selective shunt occlusion using three platinum coils. The postoperative course was uneventful with immediate improvement of symptoms.
CONCLUSION: CSDAVF should be considered as a differential diagnosis in a patient with venous congestion in the brainstem.
CASE DESCRIPTION: A 73-year-old man presented with vertigo and rapidly progressing gait disturbance. Digital subtraction angiography revealed a left CSDAVF draining only into the spinal perimedullary veins, which was classified as Cognard type V. We performed a transvenous embolization through the occluded left inferior petrosal sinus and achieved a super-selective shunt occlusion using three platinum coils. The postoperative course was uneventful with immediate improvement of symptoms.
CONCLUSION: CSDAVF should be considered as a differential diagnosis in a patient with venous congestion in the brainstem.