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KMID : 1001920090450030199
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Journal of Korean Neurosurgical Society
2009 Volume.45 No. 3 p.199 ~ p.202
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Dural Arteriovenous Fistula of Jugular Foramen with Subarachnoid Hemorrhage : Selective Transarterial Embolization
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Byun Jun-Soo
Hwang Sung-Nam
Park Seung-Won
Nam Taek-Kyun
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Abstract
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We report the case of a 64-year-old man with dural arteriovenous fistula (DAVF) at right jugular foramen, presented as subarachnoid and intraventricular hemorrhage. The malformation was fed by only the neuromeningeal trunk of the right ascending pharyngeal artery and drained into the right lateral medullary veins craniopetally. Complete embolization was attained by selective transarterial glue injection, but patient showed lower cranial neuropathies. A 3-month follow-up angiogram still showed persistent fistula occlusion. Transarterial glue embolization is a feasible method, only if a transvenous access is not possible in case of single channel fistula.
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KEYWORD
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Dural arteriovenous fistula, Glue, Intra arterial injection, Subarachnoid hemorrhage
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