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Perimedullary arteriovenous fistula at the craniocervical junction - case report - .
Neurol Med Chir (Tokyo). 2011; 51(4):299-301.NM

Abstract

Perimedullary arteriovenous fistulas (AVFs) at the craniocervical junction are uncommon, and are often fed by the anterior spinal artery, with only a few cases fed by the intradural vertebral artery (VA). A 55-year-old man presented with a case of perimedullary AVF fed by the VA at the craniocervical junction manifesting as subarachnoid hemorrhage. Left vertebral angiography demonstrated an AVF supplied by branches from the VA. Three-dimensional computed tomography angiography (3D-CTA) revealed that the feeding arteries originated from the VA at the intradural position. Two feeding arteries were coagulated and dissected, followed by coagulation of a small feeder. The draining veins became discolored and shrank. 3D-CTA performed 2 months after the operation revealed disappearance of the AVF. Open surgery was successfully performed for the almost perimedullary AVF at the craniocervical junction, and is considered to be preferable for the treatment of this disease.

Authors+Show Affiliations

Department of Neurosurgery, School of Medicine, Keio University, Tokyo, Japan. shigeo.ohba@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

21515954

Citation

Ohba, Shigeo, et al. "Perimedullary Arteriovenous Fistula at the Craniocervical Junction - Case Report - ." Neurologia Medico-chirurgica, vol. 51, no. 4, 2011, pp. 299-301.
Ohba S, Onozuka S, Horiguchi T, et al. Perimedullary arteriovenous fistula at the craniocervical junction - case report - . Neurol Med Chir (Tokyo). 2011;51(4):299-301.
Ohba, S., Onozuka, S., Horiguchi, T., Kawase, T., & Yoshida, K. (2011). Perimedullary arteriovenous fistula at the craniocervical junction - case report - . Neurologia Medico-chirurgica, 51(4), 299-301.
Ohba S, et al. Perimedullary Arteriovenous Fistula at the Craniocervical Junction - Case Report -. Neurol Med Chir (Tokyo). 2011;51(4):299-301. PubMed PMID: 21515954.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perimedullary arteriovenous fistula at the craniocervical junction - case report - . AU - Ohba,Shigeo, AU - Onozuka,Satoshi, AU - Horiguchi,Takashi, AU - Kawase,Takeshi, AU - Yoshida,Kazunari, PY - 2011/4/26/entrez PY - 2011/4/26/pubmed PY - 2011/8/31/medline SP - 299 EP - 301 JF - Neurologia medico-chirurgica JO - Neurol Med Chir (Tokyo) VL - 51 IS - 4 N2 - Perimedullary arteriovenous fistulas (AVFs) at the craniocervical junction are uncommon, and are often fed by the anterior spinal artery, with only a few cases fed by the intradural vertebral artery (VA). A 55-year-old man presented with a case of perimedullary AVF fed by the VA at the craniocervical junction manifesting as subarachnoid hemorrhage. Left vertebral angiography demonstrated an AVF supplied by branches from the VA. Three-dimensional computed tomography angiography (3D-CTA) revealed that the feeding arteries originated from the VA at the intradural position. Two feeding arteries were coagulated and dissected, followed by coagulation of a small feeder. The draining veins became discolored and shrank. 3D-CTA performed 2 months after the operation revealed disappearance of the AVF. Open surgery was successfully performed for the almost perimedullary AVF at the craniocervical junction, and is considered to be preferable for the treatment of this disease. SN - 1349-8029 UR - https://www.unboundmedicine.com/medline/citation/21515954/Perimedullary_arteriovenous_fistula_at_the_craniocervical_junction___case_report____ L2 - http://joi.jlc.jst.go.jp/JST.JSTAGE/nmc/51.299?from=PubMed DB - PRIME DP - Unbound Medicine ER -