A Case of Intraosseous Petrous Bone Arteriovenous Fistula Complicated by Transient Worsening of Ipsilateral Hearing Following Transvenous Coil Embolization

OBJECTIVE: We report a rare case of intraosseous arteriovenous fistula (AVF) in the petrous bone occluded by transvenous coil embolization, complicated by transient hearing loss postoperatively. CASE PRESENTATION: A 55-year-old female patient underwent medical examination for vertigo and headache. C...

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Autores principales: Satoh, Daisuke, Sasaki, Tetsuo, Yako, Takehiro, Kitazawa, Kazuo, Kobayashi, Shigeaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society for Neuroendovascular Therapy 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370621/
https://www.ncbi.nlm.nih.gov/pubmed/37502024
http://dx.doi.org/10.5797/jnet.cr.2020-0190
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author Satoh, Daisuke
Sasaki, Tetsuo
Yako, Takehiro
Kitazawa, Kazuo
Kobayashi, Shigeaki
author_facet Satoh, Daisuke
Sasaki, Tetsuo
Yako, Takehiro
Kitazawa, Kazuo
Kobayashi, Shigeaki
author_sort Satoh, Daisuke
collection PubMed
description OBJECTIVE: We report a rare case of intraosseous arteriovenous fistula (AVF) in the petrous bone occluded by transvenous coil embolization, complicated by transient hearing loss postoperatively. CASE PRESENTATION: A 55-year-old female patient underwent medical examination for vertigo and headache. CT showed an osteolytic lesion in the right petrous bone. CTA and DSA revealed an AVF that had caused bone erosion. We performed transvenous coil embolization to obtain complete occlusion of the fistula. Vertigo disappeared soon after the procedure, but hearing loss in the right side worsened to near deafness by that night. We started steroid pulse therapy and heparinization. The hearing gradually recovered to the preoperative level in 10 days. CONCLUSION: It is important to pay attention to possible hearing loss in cases of transvenous coil embolization for intraosseous AVF in the petrous bone.
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spelling pubmed-103706212023-07-27 A Case of Intraosseous Petrous Bone Arteriovenous Fistula Complicated by Transient Worsening of Ipsilateral Hearing Following Transvenous Coil Embolization Satoh, Daisuke Sasaki, Tetsuo Yako, Takehiro Kitazawa, Kazuo Kobayashi, Shigeaki J Neuroendovasc Ther Case Report OBJECTIVE: We report a rare case of intraosseous arteriovenous fistula (AVF) in the petrous bone occluded by transvenous coil embolization, complicated by transient hearing loss postoperatively. CASE PRESENTATION: A 55-year-old female patient underwent medical examination for vertigo and headache. CT showed an osteolytic lesion in the right petrous bone. CTA and DSA revealed an AVF that had caused bone erosion. We performed transvenous coil embolization to obtain complete occlusion of the fistula. Vertigo disappeared soon after the procedure, but hearing loss in the right side worsened to near deafness by that night. We started steroid pulse therapy and heparinization. The hearing gradually recovered to the preoperative level in 10 days. CONCLUSION: It is important to pay attention to possible hearing loss in cases of transvenous coil embolization for intraosseous AVF in the petrous bone. The Japanese Society for Neuroendovascular Therapy 2021-04-13 2022 /pmc/articles/PMC10370621/ /pubmed/37502024 http://dx.doi.org/10.5797/jnet.cr.2020-0190 Text en ©2022 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
Satoh, Daisuke
Sasaki, Tetsuo
Yako, Takehiro
Kitazawa, Kazuo
Kobayashi, Shigeaki
A Case of Intraosseous Petrous Bone Arteriovenous Fistula Complicated by Transient Worsening of Ipsilateral Hearing Following Transvenous Coil Embolization
title A Case of Intraosseous Petrous Bone Arteriovenous Fistula Complicated by Transient Worsening of Ipsilateral Hearing Following Transvenous Coil Embolization
title_full A Case of Intraosseous Petrous Bone Arteriovenous Fistula Complicated by Transient Worsening of Ipsilateral Hearing Following Transvenous Coil Embolization
title_fullStr A Case of Intraosseous Petrous Bone Arteriovenous Fistula Complicated by Transient Worsening of Ipsilateral Hearing Following Transvenous Coil Embolization
title_full_unstemmed A Case of Intraosseous Petrous Bone Arteriovenous Fistula Complicated by Transient Worsening of Ipsilateral Hearing Following Transvenous Coil Embolization
title_short A Case of Intraosseous Petrous Bone Arteriovenous Fistula Complicated by Transient Worsening of Ipsilateral Hearing Following Transvenous Coil Embolization
title_sort case of intraosseous petrous bone arteriovenous fistula complicated by transient worsening of ipsilateral hearing following transvenous coil embolization
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370621/
https://www.ncbi.nlm.nih.gov/pubmed/37502024
http://dx.doi.org/10.5797/jnet.cr.2020-0190
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