Journal of Cerebrovascular and Endovascular Neurosurgery

Korean Society of Cerebravascular Surgeons (대한뇌혈관외과학회)
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Surgical Management of Dural Arteriovenous Fistula of The Anterior Cranial Fossa - Case Report -

전두와 경막 동정맥루의 수술적 치료 - 증례보고 -

  • Heo, Won (Department of Neurosurgery, Gyeongsang National University School of Medicine) ;
  • Park, In-Sung (Department of Neurosurgery, Gyeongsang National University School of Medicine) ;
  • Lee, Chul-Hee (Department of Neurosurgery, Gyeongsang National University School of Medicine) ;
  • Han, Jong-Woo (Department of Neurosurgery, Gyeongsang National University School of Medicine)
  • 허원 (경상대학교 의과대학 경상대학교병원 신경외과학교실) ;
  • 박인성 (경상대학교 의과대학 경상대학교병원 신경외과학교실) ;
  • 이철희 (경상대학교 의과대학 경상대학교병원 신경외과학교실) ;
  • 한종우 (경상대학교 의과대학 경상대학교병원 신경외과학교실)
  • Published : 2011.06.30
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Abstract

Objective : A dural arteriovenous fistula (DAVF) of the anterior cranial fossa is rare. We report a case of a DAVF of the anterior cranial fossa which was treated surgically, following endovascular treatment failure. Methods & Results : The subject was a 53-year-old male with a headache caused by a hematoma in the right frontal lobe. A vascular abnormality of the anterior cranial fossa was suspected on brain computed tomographic angiography. The subsequent transfemoral cerebral angiography revealed that the AVF of the anterior cranial fossa was mainly fed by the left anterior ethmoidal artery. Endovascular therapy using N-butyl cyanoacrylate was attempted. However, the procedure failed to occlude the fistula due to the existing feeding artery (the right anterior ethmoidal artery). Consequently, a surgical approach was undertaken and the lesion was successfully obliterated. Conclusion : We report a rare case of an intracerebral hematoma caused by a DAVF, which was successfully managed surgically following, endovascular treatment failure.

Keywords

References

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