How I do it? surgical resection of craniocervical junction dural arteriovenous fistula

IF 1.9 3区 医学 Q3 CLINICAL NEUROLOGY Acta Neurochirurgica Pub Date : 2024-12-16 DOI:10.1007/s00701-024-06399-y
Zixiao Yang, Xingfen Su, Zhicheng Wang, Jianping Song
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Abstract

Background

Craniocervical junction (CCJ) dural arteriovenous fistulas (DAVFs) represent a rare yet critical vascular anomaly that may result in significant neurological impairments.

Method

We report the case of a 52-year-old male with a history of medullary hemorrhage who underwent surgical intervention for a left CCJ DAVF. Through comprehensive surgical planning and meticulous intraoperative monitoring, multiple feeders of the DAVF were safely coagulated and transected, with successful DAVF obliteration confirmed by intraoperative angiography.

Conclusion

The patient demonstrated full recovery, underscoring the efficacy of surgical management in complex cases facilitated by advanced techniques in a hybrid operating theatre.

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颅颈交界处硬脑膜动静脉瘘手术切除术
背景颅颈交界处(CCJ)硬脑膜动静脉瘘(DAVFs)是一种罕见但严重的血管异常,可能导致严重的神经功能损伤。方法我们报告了一例 52 岁男性病例,该患者有髓腔出血病史,因左侧 CCJ DAVF 而接受手术治疗。通过全面的手术规划和细致的术中监测,DAVF 的多条馈线被安全地凝固和横断,术中血管造影证实 DAVF 被成功阻断。
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来源期刊
Acta Neurochirurgica
Acta Neurochirurgica 医学-临床神经学
CiteScore
4.40
自引率
4.20%
发文量
342
审稿时长
1 months
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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