Iatrogenic dural arteriovenous fistula after radical neck dissection for metastatic malignant disease: A case report

被引：6

作者：

Ngerageza, Japhet Gideon ^{[1
,2
]}

Horiuchi, Tetsuyoshi ^{[1
]}

Murata, Takahiro ^{[1
]}

Aoyama, Tatsuro ^{[1
]}

Hongo, Kazuhiro ^{[1
]}

机构：

[1] Shinshu Univ, Sch Med, Dept Neurosurg, 3-1-1 Asahi, Matsumoto, Nagano 3908621, Japan

[2] Muhimbili Univ Hlth & Allied Sci, Dept Orthopaed Traumatol & Neurosurg, Sch Med, Dar Es Salaam, Tanzania

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2016年 / 38卷 / 04期

关键词：

dural arteriovenous fistula; internal jugular vein; radical neck dissection; MALFORMATIONS; CRANIOTOMY;

D O I：

10.1002/hed.24202

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Background. A case of dural arteriovenous fistula (dAVF) developed after radical neck dissection for lymph node metastasis 2 years after oral surgery for tongue cancer. Methods. The patient was asymptomatic during follow-up visits with no evidence of metastasis on follow-up CT scan of the neck. However, diagnostic angiography showed left internal carotid artery (ICA) stenosis and dAVF involving the posterior meningeal artery and transverse sinus at the left posterior fossa with cortical venous reflux (Cognard type III). They were treated with carotid stenting and surgery, respectively. Results. The postoperative course was uneventful. Follow-up angiography revealed obliteration of the dAVF. Conclusion. This was a rare case of iatrogenic dAVF after surgical ligation of venous outflow during radical neck dissection. The surgical plan is presented along with a literature review regarding the development of iatrogenic dAVFs induced by direct surgical trauma. (C) 2015 Wiley Periodicals, Inc.

引用

页码：E87 / E90

页数：4

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