台灣外科醫學會雜誌

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篇名	Unusual Dural Arteriovenous Fistula from Extracranial Posterior Inferior Cerebellar Artery Treated by Embolization:Report of a Case
作者	Sio-Iong Chang, Ho-Fai Wong, Chih-Peng Wei
卷期/出版年月	42卷1期 (2009/2)
頁次	35-40
摘要	Background: According to the classification of Congard et al., type V dAVFs mainly drain into the spinal perimedullary veins. About half of the patients present with myelopathy. We report a case with such a rare lesion and discuss its clinical, radiological, as well as therapeutic aspects. Case presentation: A 57y/o male came to visit our hospital with progressive ascending myelopathy for one week. Cervical spine MRI revealed a high intensity signal in the brain stem and upper cervical spinal cord on T2WI with some serpentine abnormal vasculature. Digital subtraction angiography elucidated a dural arteriovenous fistula that derived from a branch of an extracranial posterior inferior cerebellar artery with perimedullary venous drainage. The patient was referred to the neuroradiology department for embolization. Post-embolization angiography showed complete obliteration of the dAVF, and the PICA was preserved. Conclusion: Early diagnosis and treatment of type V dAVF permit a better prognosis. There are several treatment options for dAVF. Embolization may be the treatment of choice and should be tried first because of its efficacy and safety.
關鍵詞	dural arteriovenous fistula, ascending myelopathy, embolization
分類	Case Report