A rare brainstem hemorrhage due to incomplete transvenous embolization of the cavernous sinus dural arteriovenous fistula : A case report
© 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington..
Endovascular embolization is generally thought to be safe and effective for the cavernous sinus dural arteriovenous fistula (CS DAVF); however, some complications have been reported. We report an extremely rare brainstem hemorrhage associated with transvenous embolization (TVE) of CS DAVF. A 66-year-old man presented with right-sided conjunctival chemosis and exophthalmos. His brain magnetic resonance image showed right CS DAVF. Thus, emergent TVE was performed. Although his symptoms improved after the first TVE, magnetic resonance image showed brainstem edema, and venous congestion was suspected because of incomplete TVE. Second TVE was performed. Thereafter, computed tomography showed brainstem hemorrhage, resulting in the occurrence of right abducent nerve palsy, right-sided facial palsy, and ataxia. The patient's condition gradually improved, and a year has passed without recurrence. Incomplete TVE of CS DAVF can result in life-threatening complications, such as cerebral hemorrhage. To avoid these complications, the anatomical structure of the cavernous sinus should be understood accurately, and important drainage veins should be determined.
| Errataetall: |
ErratumIn: Radiol Case Rep. 2023 Jan 24;18(4):1645-1646. - PMID 36895596 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:16 |
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| Enthalten in: |
Radiology case reports - 16(2021), 9 vom: 14. Sept., Seite 2526-2529 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Mochizuki, Yoshiki [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Revised 10.03.2023 published: Electronic-eCollection ErratumIn: Radiol Case Rep. 2023 Jan 24;18(4):1645-1646. - PMID 36895596 Citation Status PubMed-not-MEDLINE |
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| doi: |
10.1016/j.radcr.2021.06.012 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM328221988 |
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| 100 | 1 | |a Mochizuki, Yoshiki |e verfasserin |4 aut | |
| 245 | 1 | 2 | |a A rare brainstem hemorrhage due to incomplete transvenous embolization of the cavernous sinus dural arteriovenous fistula |b A case report |
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| 500 | |a ErratumIn: Radiol Case Rep. 2023 Jan 24;18(4):1645-1646. - PMID 36895596 | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a © 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington. | ||
| 520 | |a Endovascular embolization is generally thought to be safe and effective for the cavernous sinus dural arteriovenous fistula (CS DAVF); however, some complications have been reported. We report an extremely rare brainstem hemorrhage associated with transvenous embolization (TVE) of CS DAVF. A 66-year-old man presented with right-sided conjunctival chemosis and exophthalmos. His brain magnetic resonance image showed right CS DAVF. Thus, emergent TVE was performed. Although his symptoms improved after the first TVE, magnetic resonance image showed brainstem edema, and venous congestion was suspected because of incomplete TVE. Second TVE was performed. Thereafter, computed tomography showed brainstem hemorrhage, resulting in the occurrence of right abducent nerve palsy, right-sided facial palsy, and ataxia. The patient's condition gradually improved, and a year has passed without recurrence. Incomplete TVE of CS DAVF can result in life-threatening complications, such as cerebral hemorrhage. To avoid these complications, the anatomical structure of the cavernous sinus should be understood accurately, and important drainage veins should be determined | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Brainstem hemorrhage | |
| 650 | 4 | |a CS, cavernous sinus | |
| 650 | 4 | |a CTA, computed tomography angiography | |
| 650 | 4 | |a Cavernous sinus | |
| 650 | 4 | |a Complication | |
| 650 | 4 | |a DAVF, dural arteriovenous fistula | |
| 650 | 4 | |a DSA, digital subtraction angiography | |
| 650 | 4 | |a Dural arteriovenous fistula | |
| 650 | 4 | |a IPS, inferior petrosal sinus | |
| 650 | 4 | |a MRA, magnetic resonance angiography | |
| 650 | 4 | |a MRI, magnetic resonance imaging | |
| 650 | 4 | |a SMCV, superficial middle cerebral vein | |
| 650 | 4 | |a SOV, superior ophthalmic vein | |
| 650 | 4 | |a SPS, superior petrosal sinus | |
| 650 | 4 | |a TAE, transarterial embolization | |
| 650 | 4 | |a TVE, transvenous embolization | |
| 650 | 4 | |a Transvenous embolization | |
| 700 | 1 | |a Iihoshi, Satoshi |e verfasserin |4 aut | |
| 700 | 1 | |a Tsukagoshi, Eisuke |e verfasserin |4 aut | |
| 700 | 1 | |a Kasakura, Shigen |e verfasserin |4 aut | |
| 700 | 1 | |a Kohyama, Shinya |e verfasserin |4 aut | |
| 700 | 1 | |a Kurita, Hiroki |e verfasserin |4 aut | |
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