Cargando…

Fatal Hemorrhage Immediately after Transvenous Embolization of Transverse-sigmoid Sinus Dural Arteriovenous Fistulas: A Case Report

OBJECTIVE: We report a case of intracerebral hemorrhage following emergency transvenous embolization for an acute symptomatic non-hemorrhagic dural arteriovenous fistula (dAVF). CASE PRESENTATION: An 83-year-old woman demonstrated gait disorder and disturbance of consciousness. A transverse-sigmoid...

Descripción completa

Detalles Bibliográficos
Autores principales: Hori, Shinya, Shimo, Daisuke, Bando, Toshiaki, Mikami, Kazuyuki, Yasuda, Takaya, Kuroyama, Takahiro, Hirai, Osamu, Ueno, Yasushi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society for Neuroendovascular Therapy 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370603/
https://www.ncbi.nlm.nih.gov/pubmed/37502171
http://dx.doi.org/10.5797/jnet.cr.2019-0101
_version_ 1785077969652285440
author Hori, Shinya
Shimo, Daisuke
Bando, Toshiaki
Mikami, Kazuyuki
Yasuda, Takaya
Kuroyama, Takahiro
Hirai, Osamu
Ueno, Yasushi
author_facet Hori, Shinya
Shimo, Daisuke
Bando, Toshiaki
Mikami, Kazuyuki
Yasuda, Takaya
Kuroyama, Takahiro
Hirai, Osamu
Ueno, Yasushi
author_sort Hori, Shinya
collection PubMed
description OBJECTIVE: We report a case of intracerebral hemorrhage following emergency transvenous embolization for an acute symptomatic non-hemorrhagic dural arteriovenous fistula (dAVF). CASE PRESENTATION: An 83-year-old woman demonstrated gait disorder and disturbance of consciousness. A transverse-sigmoid dAVF with retrograde deep venous drainage was detected on DSA. The left sigmoid sinus-jugular vein and the sinus confluence were occluded and the dAVF drains via the straight sinus (SS), medial superior cerebral veins and deep veins to the superior sagittal sinus (SSS). The dAVF was emergently treated by sinus packing of the transverse-sigmoid sinus with coils with contralateral approach via the occluded sinus confluence. Although the dAVF was markedly regressed, massive cerebral hemorrhage developed in the left parietal lobe immediately after embolization. CONCLUSION: Although early treatment is required for dAVFs with aggressive symptoms, precious evaluation of their hemodynamics, particularly for drainage pattern, is mandatory to avoid a serious complication.
format Online
Article
Text
id pubmed-10370603
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher The Japanese Society for Neuroendovascular Therapy
record_format MEDLINE/PubMed
spelling pubmed-103706032023-07-27 Fatal Hemorrhage Immediately after Transvenous Embolization of Transverse-sigmoid Sinus Dural Arteriovenous Fistulas: A Case Report Hori, Shinya Shimo, Daisuke Bando, Toshiaki Mikami, Kazuyuki Yasuda, Takaya Kuroyama, Takahiro Hirai, Osamu Ueno, Yasushi J Neuroendovasc Ther Case Report OBJECTIVE: We report a case of intracerebral hemorrhage following emergency transvenous embolization for an acute symptomatic non-hemorrhagic dural arteriovenous fistula (dAVF). CASE PRESENTATION: An 83-year-old woman demonstrated gait disorder and disturbance of consciousness. A transverse-sigmoid dAVF with retrograde deep venous drainage was detected on DSA. The left sigmoid sinus-jugular vein and the sinus confluence were occluded and the dAVF drains via the straight sinus (SS), medial superior cerebral veins and deep veins to the superior sagittal sinus (SSS). The dAVF was emergently treated by sinus packing of the transverse-sigmoid sinus with coils with contralateral approach via the occluded sinus confluence. Although the dAVF was markedly regressed, massive cerebral hemorrhage developed in the left parietal lobe immediately after embolization. CONCLUSION: Although early treatment is required for dAVFs with aggressive symptoms, precious evaluation of their hemodynamics, particularly for drainage pattern, is mandatory to avoid a serious complication. The Japanese Society for Neuroendovascular Therapy 2020-06-05 2020 /pmc/articles/PMC10370603/ /pubmed/37502171 http://dx.doi.org/10.5797/jnet.cr.2019-0101 Text en ©2020 The Japanese Society for Neuroendovascular Therapy https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License (https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Case Report
Hori, Shinya
Shimo, Daisuke
Bando, Toshiaki
Mikami, Kazuyuki
Yasuda, Takaya
Kuroyama, Takahiro
Hirai, Osamu
Ueno, Yasushi
Fatal Hemorrhage Immediately after Transvenous Embolization of Transverse-sigmoid Sinus Dural Arteriovenous Fistulas: A Case Report
title Fatal Hemorrhage Immediately after Transvenous Embolization of Transverse-sigmoid Sinus Dural Arteriovenous Fistulas: A Case Report
title_full Fatal Hemorrhage Immediately after Transvenous Embolization of Transverse-sigmoid Sinus Dural Arteriovenous Fistulas: A Case Report
title_fullStr Fatal Hemorrhage Immediately after Transvenous Embolization of Transverse-sigmoid Sinus Dural Arteriovenous Fistulas: A Case Report
title_full_unstemmed Fatal Hemorrhage Immediately after Transvenous Embolization of Transverse-sigmoid Sinus Dural Arteriovenous Fistulas: A Case Report
title_short Fatal Hemorrhage Immediately after Transvenous Embolization of Transverse-sigmoid Sinus Dural Arteriovenous Fistulas: A Case Report
title_sort fatal hemorrhage immediately after transvenous embolization of transverse-sigmoid sinus dural arteriovenous fistulas: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370603/
https://www.ncbi.nlm.nih.gov/pubmed/37502171
http://dx.doi.org/10.5797/jnet.cr.2019-0101
work_keys_str_mv AT horishinya fatalhemorrhageimmediatelyaftertransvenousembolizationoftransversesigmoidsinusduralarteriovenousfistulasacasereport
AT shimodaisuke fatalhemorrhageimmediatelyaftertransvenousembolizationoftransversesigmoidsinusduralarteriovenousfistulasacasereport
AT bandotoshiaki fatalhemorrhageimmediatelyaftertransvenousembolizationoftransversesigmoidsinusduralarteriovenousfistulasacasereport
AT mikamikazuyuki fatalhemorrhageimmediatelyaftertransvenousembolizationoftransversesigmoidsinusduralarteriovenousfistulasacasereport
AT yasudatakaya fatalhemorrhageimmediatelyaftertransvenousembolizationoftransversesigmoidsinusduralarteriovenousfistulasacasereport
AT kuroyamatakahiro fatalhemorrhageimmediatelyaftertransvenousembolizationoftransversesigmoidsinusduralarteriovenousfistulasacasereport
AT hiraiosamu fatalhemorrhageimmediatelyaftertransvenousembolizationoftransversesigmoidsinusduralarteriovenousfistulasacasereport
AT uenoyasushi fatalhemorrhageimmediatelyaftertransvenousembolizationoftransversesigmoidsinusduralarteriovenousfistulasacasereport