Journal of Korean Neurosurgical Society

  • 제56권2호
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  • Pages.168-170
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  • 2014
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Delayed Dural Arteriovenous Fistula after Microvascular Decompression for Hemifacial Spasm

  • Kim, Sung Han (Department of Neurosurgery, Yonsei University College of Medicine) ;
  • Chang, Won Seok (Department of Neurosurgery, Yonsei University College of Medicine) ;
  • Jung, Hyun Ho (Department of Neurosurgery, Yonsei University College of Medicine) ;
  • Chang, Jin Woo (Department of Neurosurgery, Yonsei University College of Medicine)
  • 투고 : 2014.05.19
  • 심사 : 2014.08.14
  • 발행 : 2014.08.28
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초록

Dural arteriovenous fistula (AVF) is very rare, acquired lesion that may present with intracranial hemorrhage or neurological deficits. The etiology is not completely understood but dural AVF often has been associated with thrombosis of the involved dural sinuses. To our knowledge, this is the first well documented intracranial hemorrhage case caused by dural AVF following microvascular decompression for hemifacial spasm. A 49-year-old male patient had left microvascular decompression of anterior inferior cerebellar artery via retrosigmoid suboccipital craniotomy. The patient was in good condition without any residual spasm or surgery-related complications. However, after 10 months, he suffered sudden onset of amnesia and dysarthria. Computed tomography and magnetic resonance imaging revealed the presence of dural AVF around the left transverse-sigmoid sinus. The dural AVF was treated with Onyx$^{(R)}$ (ev3) embolization. At the one-year follow up visit, there were no evidence of recurrence and morbidity related to dural AVF and its treatment. This case confirms that the acquired etiology of dural AVF may be associated with retrosigmoid suboccipital craniotomy for hemifacial spasm, even though it is an extremely consequence of this procedure.

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참고문헌

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피인용 문헌

  1. Delayed Onset of Dural Arteriovenous Fistula Following Trauma vol.2, pp.2, 2014, https://doi.org/10.3390/reports2020014
  2. Development of cavernous sinus dural arteriovenous fistula at contralateral site after removal of meningioma: a case report and literature review vol.43, pp.2, 2014, https://doi.org/10.3995/jstroke.10785