Dural arteriovenous fistula of jugular foramen with subarachnoid hemorrhage : selective transarterial embolization.
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.
Department of Radiology, College of Medicine, Chung-Ang University, Yongsan Hospital, Seoul, Korea.
Jun Soo
JS
Byun
Sung Nam
SN
Hwang
Seung Won
SW
Park
Taek Kyun
TK
Nam