| Atypical dural arteriovenous fistula associated with meningitis. | |
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MedLine Citation:
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PMID: 18296875 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 49-year-old male presented with hemisensory disturbance and gait unsteadiness following a previous episode of meningitis. He had no contributory medical or head injury history. Magnetic resonance imaging revealed innumerable medullary vessels in the white matter of the left cerebral hemisphere, which had not been recognized in the previous imaging study. Cerebral angiography showed variant superior sagittal sinus (SSS) arteriovenous fistula (AVF) fed by the bilateral middle meningeal and superficial temporal arteries, and drained directly to the cortical veins with marked venous engorgement in the affected hemisphere. The fistulas were located on the cortical veins, apart from the SSS. Initial percutaneous transarterial embolization failed, so the AVF was completely obliterated with a combination of surgical and endovascular techniques. The symptoms ameliorated postoperatively. Meningitis may be an underlying pathology of dural AVF. Variant SSS AVF can be treated with a combination of surgical and endovascular techniques. |
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Authors:
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Satoshi Tsutsumi; Yukimasa Yasumoto; Masanori Ito; Hidenori Oishi; Hajime Arai; Asako Yoritaka |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Neurologia medico-chirurgica Volume: 48 ISSN: 0470-8105 ISO Abbreviation: Neurol. Med. Chir. (Tokyo) Publication Date: 2008 Feb |
Date Detail:
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Created Date: 2008-02-25 Completed Date: 2008-04-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0400775 Medline TA: Neurol Med Chir (Tokyo) Country: Japan |
Other Details:
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Languages: eng Pagination: 68-71 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Juntendo University Urayasu Hospital, Urayasu, Chiba, Japan. shotaro@juntendo-urayasu.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Central Nervous System Vascular Malformations
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complications*,
therapy Cerebral Angiography Embolization, Therapeutic Humans Magnetic Resonance Imaging Male Meningitis / complications* Middle Aged Superior Sagittal Sinus Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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