J Korean Neurosurg Soc.  2009 Mar;45(3):199-202. 10.3340/jkns.2009.45.3.199.

Dural Arteriovenous Fistula of Jugular Foramen with Subarachnoid Hemorrhage : Selective Transarterial Embolization

Affiliations
  • 1Department of Radiology, College of Medicine, Chung-Ang University, Yongsan Hospital, Seoul, Korea. flightdr61@hanmail.net
  • 2Department of Neurological Surgery, College of Medicine, Chung-Ang University, Yongsan Hospital, Seoul, Korea.

Abstract

We report the case of a 64-year-old man with dural arteriovenous fistula (DAVF) at right jugular foramen, presented as subarachnoid and intraventricular hemorrhage. The malformation was fed by only the neuromeningeal trunk of the right ascending pharyngeal artery and drained into the right lateral medullary veins craniopetally. Complete embolization was attained by selective transarterial glue injection, but patient showed lower cranial neuropathies. A 3-month follow-up angiogram still showed persistent fistula occlusion. Transarterial glue embolization is a feasible method, only if a transvenous access is not possible in case of single channel fistula.

Keyword

Dural arteriovenous fistula; Glue; Intra arterial injection; Subarachnoid hemorrhage

MeSH Terms

Adhesives
Arteries
Central Nervous System Vascular Malformations
Cranial Nerve Diseases
Fistula
Follow-Up Studies
Hemorrhage
Humans
Middle Aged
Subarachnoid Hemorrhage
Veins
Adhesives
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