雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

A Tentorial Dural Arteriovenous Fistula Presenting Progressive Myelopathy: A Case Report Tomonori Takeshita 1 , Keisuke Toyoda 1 , Gohei So 1 , Yoichi Morofuji 1 , Nobutaka Horie 1 , Kentaro Hayashi 1 , Naoki Kitagawa 1 , Kazuhiko Suyama 1 , Izumi Nagata 1 1Department of Neurosurgery,Nagasaki University School of Medicine Keyword: dural arteriovenous fistula , tentorium cerebelli , myelopathy , craniotomy , micro Doppler sonography pp.611-615
Published Date 2011/6/1
DOI https://doi.org/10.11477/mf.1416100932
  • Abstract
  • Look Inside
  • Reference

Abstract

 We report a case of a dural arteriovenous fistula (DAVF) at the tentorium cerebelli, which presented progressive myelopathy. A 68-year-old man with neurological deterioration of the cervical myelopathy visited our hospital. T2 weighted magnetic resonance (MR) imaging showed high signal area and edema from the medulla to the upper thoracic spinal cord with flow voids on the dorsal surface of the cord. Angiography showed right tentorial DAVF, which was supplied by the right meningohypophyseal trunk, the middle meningeal artery, the accessory meningeal artery, and was drained into the posterior spinal veins. The patient underwent right retrosigmoid suboccipital craniotomy, then disruption of the fistula was performed by using micro Doppler sonography following endovascular obliteration of the main feeders. Postoperative angiography showed complete obliteration of the fistula. His daily functioning gradually improved up to 6 months after the surgery.

 Tentorial DAVFs with clinical manifestation of myelopathy are rare. Considering its aggressive nature, early surgical treatment could be necessary.

(Received: November 17,2010,Accepted: December 18,2010)


Copyright © 2011, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1344-8129 印刷版ISSN 1881-6096 医学書院

関連文献

もっと見る

文献を共有