5 778

Cited 30 times in

Hypoglossal canal dural arteriovenous fistula: incidence and the relationship between symptoms and drainage pattern

DC Field Value Language
dc.contributor.author김동익-
dc.contributor.author김동준-
dc.contributor.author김병문-
dc.contributor.author서상현-
dc.contributor.author신나영-
dc.contributor.author이진구-
dc.contributor.author최종원-
dc.date.accessioned2014-12-18T09:22:54Z-
dc.date.available2014-12-18T09:22:54Z-
dc.date.issued2013-
dc.identifier.issn0022-3085-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/88065-
dc.description.abstractOBJECT The purpose of this study was to evaluate the incidence, radiographic findings, relationship between presenting symptoms for treatment and drainage pattern, and treatment outcomes of hypoglossal canal dural arteriovenous fistula (HC-dAVF). METHODS During a 16-year period, 238 patients underwent endovascular treatment for cranial dAVF at a single center. The incidence, radiographic findings, relationship between presenting symptoms for treatment and drainage pattern, and treatment outcomes of HC-dAVF were retrospectively evaluated. RESULTS The incidence of HC-dAVF was 4.2% (n = 10). Initial symptoms were tinnitus with headache (n = 6), tinnitus only (n = 1), ocular symptoms (n = 1), otalgia (n = 1), and congestive myelopathy (n = 1). Presenting symptoms requiring treatment included ocular symptoms (n = 4), hypoglossal nerve palsy (n = 4), aggravation of myelopathy (n = 1), and aggravation of tinnitus with headache (n = 1). While the affected HC was widened in 4 of 10 patients, hypersignal intensity on source images was conspicuous in all 7 patients who underwent MR angiography (MRA). All ocular symptoms and congestive myelopathy were associated with predominant drainage to superior ophthalmic or perimedullary veins due to antegrade drainage restriction. All patients who underwent transvenous coil embolization (n = 8) or transarterial N-butyl cyanoacrylate (NBCA) embolization (n = 1) improved without recurrence. One patient who underwent transarterial particle embolization had a recurrence 12 months posttreatment and was retreated with transvenous embolization. CONCLUSIONS The incidence of HC-dAVF was 4.2% of all cranial dAVF patients who underwent endovascular treatment. Source images of MRA helped to accurately diagnose HC-dAVF. More aggressive symptoms may develop as a result of a change in the predominant drainage route due to the development of venous stenosis or obstruction over time. Transvenous coil embolization appears to be the first treatment of choice.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfJOURNAL OF NEUROSURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHCentral Nervous System Vascular Malformations/diagnostic imaging-
dc.subject.MESHCentral Nervous System Vascular Malformations/epidemiology*-
dc.subject.MESHCentral Nervous System Vascular Malformations/therapy-
dc.subject.MESHEmbolization, Therapeutic/methods*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHIncidence-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHRadiography-
dc.subject.MESHSkull/diagnostic imaging-
dc.subject.MESHTreatment Outcome-
dc.titleHypoglossal canal dural arteriovenous fistula: incidence and the relationship between symptoms and drainage pattern-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학)-
dc.contributor.googleauthorJong Won Choi-
dc.contributor.googleauthorByung Moon Kim-
dc.contributor.googleauthorDong Joon Kim-
dc.contributor.googleauthorDong Ik Kim-
dc.contributor.googleauthorSang Hyun Suh-
dc.contributor.googleauthorNa-Young Shin-
dc.contributor.googleauthorJin Goo Lee-
dc.identifier.doi10.3171/2013.4.JNS121974-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA04186-
dc.contributor.localIdA00408-
dc.contributor.localIdA00410-
dc.contributor.localIdA00498-
dc.contributor.localIdA01886-
dc.contributor.localIdA02089-
dc.contributor.localIdA03224-
dc.relation.journalcodeJ01636-
dc.identifier.eissn1933-0693-
dc.identifier.pmid23724984-
dc.identifier.urlhttp://thejns.org/doi/abs/10.3171/2013.4.JNS121974-
dc.subject.keyworddural arteriovenous fistula-
dc.subject.keywordhypoglossal canal-
dc.subject.keywordvascular disorders-
dc.subject.keywordendovascular treatment-
dc.contributor.alternativeNameKim, Dong Ik-
dc.contributor.alternativeNameKim, Dong Joon-
dc.contributor.alternativeNameKim, Byung Moon-
dc.contributor.alternativeNameSuh, Sang Hyun-
dc.contributor.alternativeNameShin, Na Young-
dc.contributor.alternativeNameLee, Jin Goo-
dc.contributor.alternativeNameChoi, Jong Won-
dc.contributor.affiliatedAuthorChoi, Jong Won-
dc.contributor.affiliatedAuthorKim, Dong Ik-
dc.contributor.affiliatedAuthorKim, Dong Joon-
dc.contributor.affiliatedAuthorKim, Byung Moon-
dc.contributor.affiliatedAuthorSuh, Sang Hyun-
dc.contributor.affiliatedAuthorShin, Na Young-
dc.contributor.affiliatedAuthorLee, Jin Goo-
dc.rights.accessRightsnot free-
dc.citation.volume119-
dc.citation.number4-
dc.citation.startPage955-
dc.citation.endPage960-
dc.identifier.bibliographicCitationJOURNAL OF NEUROSURGERY, Vol.119(4) : 955-960, 2013-
dc.identifier.rimsid32736-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

qrcode

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