Early rebleeding of a foramen magnum dural arteriovenous fistula: A case report and review of the literature

Foramen magnum dural arteriovenous fistula (FM-DAVF) is a subset of craniocervical junction arteriovenous fistulas. We report a rare case of FM-DAVF with early rebleeding and review the literature. A 50-year-old man experienced 3 episodes of intracranial bleeding from a vessel malformation in the ac...

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Main Authors: Takanari Okamoto, M.D., Masataka Nanto, Ph.D., M.D., Yohei Hasegawa, M.D., Yudai Goto, M.D., Hiroyuki Yamamoto, M.D., Takumi Yamanaka, Ph.D., M.D., Yoshinobu Takahashi, Ph.D., M.D., Hiroyasu Sasajima, Ph.D., M.D., Kimitoshi Sato, Ph.D., M.D., Fuminori Shimizu, M.D., Naoya Hashimoto, Ph.D., M.D.
Format: Article
Language:English
Published: Elsevier 2021-11-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043321006075
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author Takanari Okamoto, M.D.
Masataka Nanto, Ph.D., M.D.
Yohei Hasegawa, M.D.
Yudai Goto, M.D.
Hiroyuki Yamamoto, M.D.
Takumi Yamanaka, Ph.D., M.D.
Yoshinobu Takahashi, Ph.D., M.D.
Hiroyasu Sasajima, Ph.D., M.D.
Kimitoshi Sato, Ph.D., M.D.
Fuminori Shimizu, M.D.
Naoya Hashimoto, Ph.D., M.D.
author_facet Takanari Okamoto, M.D.
Masataka Nanto, Ph.D., M.D.
Yohei Hasegawa, M.D.
Yudai Goto, M.D.
Hiroyuki Yamamoto, M.D.
Takumi Yamanaka, Ph.D., M.D.
Yoshinobu Takahashi, Ph.D., M.D.
Hiroyasu Sasajima, Ph.D., M.D.
Kimitoshi Sato, Ph.D., M.D.
Fuminori Shimizu, M.D.
Naoya Hashimoto, Ph.D., M.D.
author_sort Takanari Okamoto, M.D.
collection DOAJ
description Foramen magnum dural arteriovenous fistula (FM-DAVF) is a subset of craniocervical junction arteriovenous fistulas. We report a rare case of FM-DAVF with early rebleeding and review the literature. A 50-year-old man experienced 3 episodes of intracranial bleeding from a vessel malformation in the acute stage. We identified an FM-DAVF, supplied by multiple feeding arteries (eg, left ascending pharyngeal artery) that drained into the straight sinus and left superior petrosal sinus. The draining vein had venous varices. We performed transarterial feeder embolization and surgical disconnection of the DAVF. Early rebleeding of FM-DAVF is rare. High-risk patients require risk assessment and appropriate treatment as soon as possible in the acute stage.
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spelling doaj.art-e20c129b9b1b4638bff55e4f35c0ed7f2022-12-21T23:32:43ZengElsevierRadiology Case Reports1930-04332021-11-01161134993503Early rebleeding of a foramen magnum dural arteriovenous fistula: A case report and review of the literatureTakanari Okamoto, M.D.0Masataka Nanto, Ph.D., M.D.1Yohei Hasegawa, M.D.2Yudai Goto, M.D.3Hiroyuki Yamamoto, M.D.4Takumi Yamanaka, Ph.D., M.D.5Yoshinobu Takahashi, Ph.D., M.D.6Hiroyasu Sasajima, Ph.D., M.D.7Kimitoshi Sato, Ph.D., M.D.8Fuminori Shimizu, M.D.9Naoya Hashimoto, Ph.D., M.D.10Department of Neurosurgery, Kyoto Prefectural University Graduate School of Medicine, 465, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, Japan; Corresponding author. T. Okamoto.Department of Neurosurgery, Kyoto Prefectural University Graduate School of Medicine, 465, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, JapanDepartment of Neurosurgery, Kyoto Prefectural University Graduate School of Medicine, 465, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, JapanDepartment of Neurosurgery, Kyoto Prefectural University Graduate School of Medicine, 465, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, JapanDepartment of Neurosurgery, Kyoto Prefectural University Graduate School of Medicine, 465, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, JapanDepartment of Neurosurgery, Kyoto Prefectural University Graduate School of Medicine, 465, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, JapanDepartment of Neurosurgery, Kyoto Prefectural University Graduate School of Medicine, 465, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, JapanDepartment of Neurosurgery, Kyoto Prefectural University Graduate School of Medicine, 465, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, JapanDepartment of Neurosurgery, Shimizu Hospital, Kyoto, JapanDepartment of Neurosurgery, Shimizu Hospital, Kyoto, JapanDepartment of Neurosurgery, Kyoto Prefectural University Graduate School of Medicine, 465, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, JapanForamen magnum dural arteriovenous fistula (FM-DAVF) is a subset of craniocervical junction arteriovenous fistulas. We report a rare case of FM-DAVF with early rebleeding and review the literature. A 50-year-old man experienced 3 episodes of intracranial bleeding from a vessel malformation in the acute stage. We identified an FM-DAVF, supplied by multiple feeding arteries (eg, left ascending pharyngeal artery) that drained into the straight sinus and left superior petrosal sinus. The draining vein had venous varices. We performed transarterial feeder embolization and surgical disconnection of the DAVF. Early rebleeding of FM-DAVF is rare. High-risk patients require risk assessment and appropriate treatment as soon as possible in the acute stage.http://www.sciencedirect.com/science/article/pii/S1930043321006075Foramen magnum dural arteriovenous fistulaCraniocervical junction arteriovenous fistulaEarly rebleedingAscending pharyngeal artery
spellingShingle Takanari Okamoto, M.D.
Masataka Nanto, Ph.D., M.D.
Yohei Hasegawa, M.D.
Yudai Goto, M.D.
Hiroyuki Yamamoto, M.D.
Takumi Yamanaka, Ph.D., M.D.
Yoshinobu Takahashi, Ph.D., M.D.
Hiroyasu Sasajima, Ph.D., M.D.
Kimitoshi Sato, Ph.D., M.D.
Fuminori Shimizu, M.D.
Naoya Hashimoto, Ph.D., M.D.
Early rebleeding of a foramen magnum dural arteriovenous fistula: A case report and review of the literature
Radiology Case Reports
Foramen magnum dural arteriovenous fistula
Craniocervical junction arteriovenous fistula
Early rebleeding
Ascending pharyngeal artery
title Early rebleeding of a foramen magnum dural arteriovenous fistula: A case report and review of the literature
title_full Early rebleeding of a foramen magnum dural arteriovenous fistula: A case report and review of the literature
title_fullStr Early rebleeding of a foramen magnum dural arteriovenous fistula: A case report and review of the literature
title_full_unstemmed Early rebleeding of a foramen magnum dural arteriovenous fistula: A case report and review of the literature
title_short Early rebleeding of a foramen magnum dural arteriovenous fistula: A case report and review of the literature
title_sort early rebleeding of a foramen magnum dural arteriovenous fistula a case report and review of the literature
topic Foramen magnum dural arteriovenous fistula
Craniocervical junction arteriovenous fistula
Early rebleeding
Ascending pharyngeal artery
url http://www.sciencedirect.com/science/article/pii/S1930043321006075
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