Endoscopic third ventriculostomy for hydrocephalus accompanied by dural arteriovenous fistulae: a case report and literature review

被引：0

作者：

Wajima, Daisuke ^{[1
]}

Kamide, Tomoya ^{[1
]}

Sasagawa, Yasuo ^{[1
]}

Takata, Sho ^{[1
]}

Misaki, Kouichi ^{[1
]}

Nakada, Mitsutoshi ^{[1
]}

机构：

[1] Kanazawa Univ, Dept Neurosurg, 13-1 Takara Machi, Kanazawa, Ishikawa 9208641, Japan

来源：

ACTA NEUROCHIRURGICA | 2025年 / 167卷 / 01期

关键词：

Endoscopic third ventriculostomy; Hydrocephalus; Thrombosis; Dural arteriovenous fistulae; VEIN;

D O I：

10.1007/s00701-024-06418-y

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A 54-year-old man presented with gait disturbances, urinary incontinence, and headache for 6 months. Head computed tomography indicated several high-density mass lesions in the quadrigeminal cistern, causing occlusive hydrocephalus. Digital subtraction angiography confirmed tentorial dural arteriovenous fistulae (AVF). Transarterial embolization (TAE) achieved complete angiographic resolution. However, acute occlusive hydrocephalus worsened, necessitating endoscopic third ventriculostomy (ETV). The patient was discharged without new symptoms and no hydrocephalus recurrence at six-month follow-up. Hydrocephalus is rare in patients with dural AVF and mostly resolves spontaneously after treatment; however, if thrombosis and enlargement of the varix occur after treatment, acute occlusive hydrocephalus can develop.

引用

页数：6

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