title: Dural arteriovenous fistula manifesting as pontine hemorrhage at the craniocervical junction.
abstract: Craniocervical junction (CCJ) dural arteriovenous fistula (DAVF) manifesting as intracerebral hemorrhage is extremely rare. We report the first case of CCJ-DAVF manifesting as pontine hemorrhage. A 69-year-old male presented with a pontine hemorrhage manifesting as a sudden onset of right hemiparesis and dysarthria. Digital subtraction angiography revealed a CCJ-DAVF fed by the meningeal branches of the right vertebral artery. The patient underwent surgical ligation of the cerebral draining veins to prevent re-bleeding. The postoperative course was uneventful. The patient had no neurological deficit after 1 month rehabilitation.
authors.affiliation: Department of Neurosurgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga-shi, Saga, 849-8501, Japan.
authors.forename: Xuan
authors.initials: X
authors.lastname: Liu
authors.affiliation: Department of Neurosurgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga-shi, Saga, 849-8501, Japan. ogata.a24@gmail.com.
authors.forename: Atsushi
authors.identifier: 0000-0002-4478-0251
authors.initials: A
authors.lastname: Ogata
authors.affiliation: Department of Neurosurgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga-shi, Saga, 849-8501, Japan.
authors.forename: Jun
authors.initials: J
authors.lastname: Masuoka
authors.affiliation: Department of Neurosurgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga-shi, Saga, 849-8501, Japan.
authors.forename: Kohei
authors.initials: K
authors.lastname: Inoue
authors.affiliation: Department of Neurosurgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga-shi, Saga, 849-8501, Japan.
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Nakahara
authors.affiliation: Department of Neurosurgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga-shi, Saga, 849-8501, Japan.
authors.forename: Shoko
authors.initials: S
authors.lastname: Shimokawa
authors.affiliation: Department of Neurosurgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga-shi, Saga, 849-8501, Japan.
authors.forename: Yukinori
authors.initials: Y
authors.lastname: Takase
authors.affiliation: Division of Neurology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, Japan.
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Yakushiji
authors.affiliation: Division of Neurology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, Japan.
authors.forename: Hideo
authors.initials: H
authors.lastname: Hara
authors.affiliation: Department of Neurosurgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga-shi, Saga, 849-8501, Japan.
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Abe
mesh_terms: D000368:Aged; D015901:Angiography, Digital Subtraction; D020785:Central Nervous System Vascular Malformations / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D011149:Pons / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery
keywords: Craniocervical junction; Dural arteriovenous fistula; Intracerebral hemorrhage; Pontine hemorrhage