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KMID : 0359819930220091044
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Journal of Korean Neurosurgical Society
1993 Volume.22 No. 9 p.1044 ~ p.1048
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Surgery of ArterioSphenoparietal Sinus Fistula
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Abstract
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A 7-month-old boy was presented with growth retardation. The brain CT scan and the cerebral angiography revealed hydrocephalus resulting from venous hypertension and a high-flow direct arteriovenous fistula at the distal M2 segment of the middle
cerebral artery which was drained into the sphenopartietal sinus. The echocardiogram disclosed a ventricular hypertrophy. The patient was treated by gradual ligation of fistulous portion in ten minutes to prevent sudden increase of peripheral
resistance
and cardiac overloading. It is stressed that slow obliteration of an arteriovenous fistula is a paramount procedure to prevent congestive heart failure.
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