| Endovascular therapy of hypoglossal canal AVFs presenting with orbital symptoms. | |
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MedLine Citation:
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PMID: 19960754 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Dural arteriovenous fistulae (DAVF) of the hypoglossal canal region are rare lesions. We describe three cases of DAVF of the hypoglossal canal presenting with ocular symptoms and discuss the endovascular management options. METHODS: Three consecutive patients with DAVF of the hypoglossal canal region presented with proptosis, chemosis and disturbances of extra-ocular mobility. Each patient was treated using a different endovascular approach, based on variations of the vascular access. RESULTS: The cases and treatments are reviewed, with a literature review on the subject. Endovascular treatment, transvenous or trans-arterial was curative in all cases. CONCLUSION: DAVF of the hypoglossal canal region can present with ocular manifestations very similar to DAVF of the cavernous sinus or carotid-cavernous fistulas. Endovascular treatment is usually feasible and effective, but an understanding of the vascular anatomy and pathophysiology of the disease are of utmost importance when planning the approach. |
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Authors:
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Vladislav Miropolsky; Leodante B da Costa; Thomas R Marotta; Julian Spears |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques Volume: 36 ISSN: 0317-1671 ISO Abbreviation: Can J Neurol Sci Publication Date: 2009 Nov |
Date Detail:
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Created Date: 2009-12-07 Completed Date: 2009-12-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0415227 Medline TA: Can J Neurol Sci Country: Canada |
Other Details:
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Languages: eng Pagination: 745-50 Citation Subset: IM |
Affiliation:
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Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Central Nervous System Vascular Malformations / complications, diagnosis, surgery* Cerebral Angiography / methods Embolization, Therapeutic* Female Humans Hypoglossal Nerve Diseases / complications, diagnosis, surgery* Jugular Veins / pathology Male Microsurgery / methods Middle Aged Orbital Diseases / complications, diagnosis, surgery* Tomography, X-Ray Computed / methods |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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