계명대학교 의학도서관 Repository

Refractory Spontaneous Chronic Subdural Hematoma: A Rare Presentation of an Intracranial Arteriovenous Fistula

Metadata Downloads
Author(s)
El Kim
Keimyung Author(s)
Kim, El
Department
Dept. of Neurosurgery (신경외과학)
Journal Title
Journal of Cerebrovascular and Endovascular Neurosurgery
Issued Date
2016
Volume
18
Issue
4
Keyword
AngiographyChronic Subdural hematomaDural arteriovenous fistulaMiddle meningeal artery
Abstract
The author has encountered a 67-year-old man with dural arteriovenous fistula (AVF) presenting as a non-traumatic chronic subdural hematoma (CSDH). This previously healthy patient was hospitalized due to progressive headache with subacute onset. He underwent burr-hole surgery twice for evacuating the left CSDH that was thickest at the posterior temporal area. The operative procedure and finding was not extraordinary, but subdural hematoma slowly progressed for days following the revision surgery. After investigation by super-selective external carotid angiography, a dural AVF found near the transverse-sigmoid sinus was diagnosed. Dural AVF was completely occluded with trans-arterial injecting polyvinyl alchol particles into the petrosquamosal branch of the middle meningeal artery. The patient showed a good neurological outcome with no additional intervention. Brain surgeons have to consider the possibility of dural AVF and perform cerebral angiogram if necessary when they manage the cases that have a spontaneously occurred and repeatedly recurring CSDH
Keimyung Author(s)(Kor)
김엘
Publisher
School of Medicine
Citation
El Kim. (2016). Refractory Spontaneous Chronic Subdural Hematoma: A Rare Presentation of an Intracranial Arteriovenous Fistula. Journal of Cerebrovascular and Endovascular Neurosurgery, 18(4), 373–378. doi: 10.7461/jcen.2016.18.4.373
Type
Article
ISSN
2234-8565
DOI
10.7461/jcen.2016.18.4.373
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32447
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학)
공개 및 라이선스
  • 공개 구분공개
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.