{"title":"Combined open surgery and endovascular embolization for a ruptured sphenoid wing dural arteriovenous fistula.","authors":"Gahn Duangprasert, Phichayaphong Durongkaweroj, Pasinee Chotsakulthong, Dilok Tantongtip","doi":"10.1007/s00701-024-06226-4","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The sphenoid wing dural arteriovenous fistula (AVF) is rare, and can manifest with severe symptoms, particularly in cases classified as greater sphenoid wing type. Endovascular therapy is generally employed, however, open surgical intervention could be warranted in cases with complex fistula.</p><p><strong>Method: </strong>We present a case with ruptured greater sphenoid wing dural AVF (Cognard type IV), in which endovascular embolization using liquid material was performed, followed by open surgery to concurrently disconnect the fistula and evacuate the hematoma.</p><p><strong>Conclusion: </strong>The sphenoid wing dural AVFs may be effectively cured by open surgery for fistula disconnection in conjunction with endovascular embolization.</p>","PeriodicalId":7370,"journal":{"name":"Acta Neurochirurgica","volume":"166 1","pages":"333"},"PeriodicalIF":1.9000,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Neurochirurgica","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00701-024-06226-4","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: The sphenoid wing dural arteriovenous fistula (AVF) is rare, and can manifest with severe symptoms, particularly in cases classified as greater sphenoid wing type. Endovascular therapy is generally employed, however, open surgical intervention could be warranted in cases with complex fistula.
Method: We present a case with ruptured greater sphenoid wing dural AVF (Cognard type IV), in which endovascular embolization using liquid material was performed, followed by open surgery to concurrently disconnect the fistula and evacuate the hematoma.
Conclusion: The sphenoid wing dural AVFs may be effectively cured by open surgery for fistula disconnection in conjunction with endovascular embolization.
背景：蝶骨翼硬脑膜动静脉瘘（AVF）十分罕见，可伴有严重症状，尤其是在大蝶骨翼型病例中。一般采用血管内治疗，但对于瘘管复杂的病例，可能需要进行开放性手术干预：我们报告了一例大鼻翼硬膜外 AVF（Cognard IV 型）破裂的病例，该病例使用液体材料进行了血管内栓塞，随后进行了开放手术，同时断开瘘管并清除血肿：结论：在开放手术断开瘘管的同时进行血管内栓塞，可有效治愈蝶翼硬膜外反流因子。
期刊介绍：
The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.
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