中文 | ENG

第57卷 第1期 2024-1
Isolated lower leg monoplegia due to traumatic intraparenchymal hemorrhage

.........................

第57卷 第1期 2024-1
Reflections on the association between cholecystectomy, cholelithiasis, and colorectal cancer

.........................

第57卷 第1期 2024-1
Molluscum contagiosum, false positive, and incidence: Concern in surgery

.........................

第57卷 第1期 2024-1
New form of COVID-19 vaccine: A new advanced technology for fighting the remained problem

.........................

第57卷 第1期 2024-1
COVID-19 vaccination, acute appendicitis, interrelationship, and jointed probability: A concern

.........................

第57卷 第1期 2024-1
Role of clinical surgery in management of adverse effect of COVID-19 vaccine

.........................

第57卷 第1期 2024-1
Trends in global research for treating COVID-19 vaccine–related acute appendicitis: A bibliographic analysis

.........................

第57卷 第1期 2024-1
Heterologous vaccination, from rabies vaccine to COVID-19 vaccine: View in clinical surgery

.........................

第57卷 第1期 2024-1
A huge gastric trichobezoar presenting with Rapunzel syndrome: A case report

.........................

第57卷 第1期 2024-1
Multidisciplinary team approach for treating recurrent gastrointestinal bleeding caused by a Dieulafoy lesion

.........................

第57卷 第1期 2024-1
Early decompressive surgery within 72 hours of admission maintains financial advantages for patients with spinal epidural abscess, as evidenced by a retrospective study involving 130 cases

.........................

第57卷 第1期 2024-1
Laparoscopic versus open liver resection for treatment of liver tumors: Early experience outcomes

.........................

第57卷 第1期 2024-1
Hepatobiliary surgery in Taiwan: The past, present, and future. Part I; biliary surgery

.........................

第56卷 第6期 2023-11
New generation of COVID-19 vaccine, new form and new material: What to know in clinical surgery

.........................

第56卷 第6期 2023-11
Jejunojujunal intussusception as a rare complication of feeding jejunostomy

.........................

第56卷 第6期 2023-11
Aortic valve myxoma presenting with sudden visual loss

.........................

第56卷 第6期 2023-11
Candida auris and new concern in clinical surgery

.........................

第56卷 第6期 2023-11
Intra-abdominal paragonimiasis abscess: A note on rare recurrent acute abdomen disease

.........................

第56卷 第6期 2023-11
Death due to rabies after animal bite injury: Incidence pre– and post–COVID-19

.........................

第56卷 第6期 2023-11
Mortality rate due to traffic accident: What is it about its pattern with specific focus on relationship to COVID-19 outbreak?

.........................
登入帳號才能閱讀全文
 
篇名 Craniocervical junction spinal dural arteriovenous fistula presenting with progressive myelopathy and sudden deterioration
作者 I‑Cheng Lin, Hsiu‑Ching Wu, Chieh‑Hsin Wu, Wei‑Chen Lin, Ann‑Shung Lieu
卷期/出版年月 50卷6期 (2017/12)
頁次 223-226
摘要 Spinal dura arteriovenous fistula (SDAVF) is not an uncommon vascular malformation but is rare at craniocervical junction. The initial presentation is usually subarachnoid hemorrhage or cervical myelopathy caused by venous hypertension of the drainage vein. We report a male patient who has sudden onset of paraplegia, anesthesia of bilateral lower limbs, and urine retention. Cervical spinal cord edema and engorgement of posterior and anterior spinal veins were noted on magnetic resonance image study. Angiogram disclosed a SDAVF feeding by meningeal branch of the left vertebral artery and drainage inferiorly through posterior and anterior spinal vein. Complete obliteration of the fistula was achieved by transarterial embolization with n‑butyl cyanoacrylate. The muscle power of lower limbs improved after the embolization. In previous studies, functional outcome is most correlated with pretreatment condition. Early diagnosis and treatment of the lesion will prevent permanent neurological deficit.
關鍵詞 Craniocervical junction, spinal dural arteriovenous fistula, treatment
分類 Case report

台灣外科醫學會雜誌 © 2006 Taiwan Surgical Association All Rights Reserved
會 址:台北市南京東路五段 31 號 3 樓
電 話:(02) 2769-7845 傳 真:(02) 2746-7149 Email: journal@24drs.com