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 Case of Multiple Dural Arteriovenous Fistulas Treated by Multiple Modalities Takafumi MITSUHARA 1,2 , Fusao IKAWA 1 , Naohiko OHBAYASHI 3 , Hirofumi SHIROZU 1 , Masaru ABIKO 4 , Nobuhiko ICHINOSE 5 1Department of Neurosurgery,Shimane Central Prefectural Hospital 2Department of Neurosurgery,Graduate School of Biomedical Sciences,Hiroshima University 3Department of Neurosurgery,Matsue Red Cross Hospital 4Department of Neurosurgery,Ube Industries Central Hospital 5Department of Neurosurgery,Chugoku Rousai Hospital Keyword: multiple dural arteriovenous fistula , multiple modality , venous hypertension pp.575-580
Published Date 2011/6/10
DOI https://doi.org/10.11477/mf.1436101452
  • Abstract
  • Look Inside
  • Reference

 The authors report a rare case of multiple intracranial dural arteriovenous fistulas (DAVF) at separate sinuses. A 70-year-old man was introduced to our hospital complaining of visual disturbance due to bilateral choked disk,headache,and tinnitus. Initial angiography showed DAVFs involving the superior sagittal sinus and bilateral transverse-sigmoid sinuses,and the occlusion of the right jugular vein. The patient developed progressive impairment of visual activity and had high intracranial pressure (ICP) caused by venous hypertension. No cerebral alteration was seen on magnetic resonance imaging. To decrease the high ICP,surgical sinus isolation of the superior sagittal sinus was performed. After the surgery,transvenous embolization was performed to the right transverse-sigmoid sinus DAVF. Headache and tinnitus improved after these treatments,but visual activities rapidly declined and he experienced blindness in just a few months. Gamma knife radiosurgery was performed to the residual DAVFs.

 We discussed the etiology and treatment of the multiple DAVF,and reviewed past literatures.


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

基本情報

電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

関連文献

もっと見る

文献を共有