• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Vagal Nerve Palsy After Transarterial Embolization of Transverse-Sigmoid Dural Arteriovenous Fistula Using Onyx
【24h】

Vagal Nerve Palsy After Transarterial Embolization of Transverse-Sigmoid Dural Arteriovenous Fistula Using Onyx

机译：膜递液术后膜栓塞横向 - 乙酸多久动静脉瘘术后膜

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objective: We report a case of a 70-year-old man who developed a transverse-sigmoid dural arteriovenous fistula (TS-DAVF) that was successfully treated by transarterial embolization (TAE) with Onyx. Case Presentation: The patient presented with sudden and progressive disturbance of consciousness and left hemiparesis. Magnetic resonance imaging (MRI) revealed venous infarction and hemorrhagic changes with brain swelling in the right parietal lobe. Angiography revealed a right TS-DAVF and multiple occlusions with retrograde leptomeningeal venous drainage into the cortical veins. The TS-DAVF was graded as Borden type III and Cognard type IIa+b. Because of its progressive clinical nature and wide distribution of DAVF in the occluded sinus wall, he underwent emergent TAE with liquid embolic materials including n-butyl cyanoacrylate and Onyx under informed consent by his family. Complete obliteration of the TS-DAVF was achieved, leading to a marked amelioration of symptoms, and MRI after treatment confirmed a decrease in the brain swelling. However, he suffered transient dysphagia due to right vagal nerve palsy caused by occlusion of vasa nervorum of ascending pharyngeal artery. He returned home 5 months later with a modified Rankin Scale of 1. Conclusions: TAE with Onyx appears to be effective for aggressive TS-DAVF with a widely distributed shunt. However, the blood supply to the cranial nerves and potentially dangerous anastomoses between the external-internal carotid artery and vertebral artery should be taken into account to avoid serious complications.
机译：目的：我们举报了一个70岁男性的案例，开发了一种横向 - 乙酸多久动静脉瘘（TS-DAVF），通过肉豆蔻栓塞（TAE）成功处理。案例介绍：患者患有突然和逐步的意识扰动和左侧偏瘫。磁共振成像（MRI）揭示了静脉梗死的静脉梗死和出血性能，脑肿胀在右侧叶中肿胀。血管造影揭示了右TS-DAVF和多种闭塞，具有逆行百分症静脉引流进入皮质静脉。 TS-DAVF被渐变为双边III型和Cognard型IIA + B.由于其在闭塞窦壁上的渐进式临床性和巨大的DAVF分布，他接受了液体栓塞材料，包括含有正丁基氰基丙烯酸丁酯和Onyx的液体栓塞材料，并通过他的家庭获得知情同意。完成TS-DAVF的完全爆发，导致症状的显着改善，治疗后MRI证实脑肿胀的减少。然而，由于脊髓咽动脉瘤神经闭塞引起的右侧神经麻痹，他遭受了瞬时吞咽困难。他5个月后回到家中，通过改进的rankin标度为1.结论：与onyx的Tae似乎对具有广泛分布的分流分流的侵略性TS-DAVF有效。然而，应考虑到外部内部颈动脉和椎动脉之间的颅神经和潜在危险的吻合的血液供应，以避免严重的并发症。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号