The Potentiality for Development of Multiple Dural Arteriovenous Fistulas after Ligation of the Internal Jugular Vein: A Case Report

A 74-year-old male presented with an intracranial hemorrhage caused by multiple dural arteriovenous fistulas (DAVFs) in the left transverse sinus and right sigmoid sinus. Four months previously, the patient underwent tongue cancer removal with lymph node dissection and ligation of the right internal...

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Bibliographic Details
Published in:NMC Case Report Journal 2017, Vol.4(3), pp.71-73
Main Authors: Fudaba, Hirotaka, Kubo, Takeshi, Goda, Makoto, Sugita, Kenji, Morishige, Masaki, Onishi, Kouhei, Ishii, Keisuke, Anan, Mitsuhiro, Nagai, Yasuyuki, Fujiki, Minoru
Format: Article
Language:English
Subjects:
Case Report
dural arteriovenous fistula
endovascular surgery
internal jugular vein
venous hypertension
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Summary:A 74-year-old male presented with an intracranial hemorrhage caused by multiple dural arteriovenous fistulas (DAVFs) in the left transverse sinus and right sigmoid sinus. Four months previously, the patient underwent tongue cancer removal with lymph node dissection and ligation of the right internal jugular vein. Endovascular embolization (transvenous and transarterial embolization) resulted in the complete disappearance of the fistulas. Follow-up angiography revealed new arteriovenous shunts at the superior sagittal sinus and right transverse sinus, and we treated the patient with staged transarterial embolization. Finally, venous congestion almost completely resolved and the DAVFs disappeared without any sign of recurrence. This case speculates the concept of DAVF as an acquired lesion caused by intravenous hypertension and alerts clinicians to take precautions against ligation of the internal jugular vein during a cervical operation.
ISSN:2188-4226
2188-4226
DOI:10.2176/nmccrj.cr.2016-0258