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자료유형
학술저널
저자정보
Rasmiranjan Padhi (G. Kuppuswamy Naidu Memorial Hospital) Sathish Kandasamy (G. Kuppuswamy Naidu Memorial Hospital) Balasenthil Kumaran (Department of Neurosurgery G. Kuppuswamy Naidu Memorial Hospital) Naci Kocer (Istanbul University) Harshith Karmadhari (St John’s Medical College Bengaluru India)
저널정보
대한신경중재치료의학회 Neurointervention Neurointervention Vol.16 No.3
발행연도
2021.11
수록면
280 - 284 (5page)
DOI
https://doi.org/10.5469/neuroint.2021.00367

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Dural arteriovenous fistulas (DAVFs) are acquired pathological arteriovenous connections involving vessels that usually supply the meninges. A DAVF in the region of the hypoglossal canal is a rare form of fistula that involves the anterior condylar confluence or anterior condylar vein. We report a case of hypoglossal canal DAVF that was successfully embolized transvenously through a superior ophthalmic vein (SOV) approach. After failed attempts through jugular access, our patient was treated by a unique percutaneous direct puncture approach through the SOV, achieving complete obliteration of the fistula. A step-by-step description of the endovascular technique was described. The clinical course was uneventful without any new neurologic deficit. The eye symptoms and third nerve palsy had completely resolved at the 3-month follow-up visit. Hypoglossal canal DAVFs are rare and may exhibit complex venous drainage patterns. Knowledge of the complex venous anatomy is essential for planning an alternative transvenous route if the standard approach is not feasible. Xper CT (Philips Healthcare, Best, The Netherlands) is an excellent tool for identifying the exact site of the fistula as well as for confirming a safe position of the catheter tip for successful occlusion of this complex dural AV fistula.

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