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Abstract

We report a case of dural arterio venous fistula (DAVF) within the left hypoglossal canal in a 64-year-old man who presented with tinnitus and ocular symptoms. Angiography revealed DAVF with the fistulous pouch medial to the left jugular bulb. The fistula was feeded by meningeal branches of the bilateral ascending pharyngeal arteries and the branches from the left vertebral artery. The fistula shunted into the left jugular bulb, with reflux into the left inferior petrosal (IPS) and cavernous sinuses (Cses), left superior ophthalmic vein (SO V) and cortical veins over the cerebral convexity. We performed transvenous coil embolization to occlude the fistula resulting in complete resolution of symptoms and signs.

Keywords

arteriovenous fistula transvenous embolization hypoglossal canal

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References

Ernst

Bulas

: Three cases of dural arteriovenous fistula of the anterior condylar vein within the hypoglossal canal. Am J Neuroradiol 20: 2016–2020, 1999.

Kiyosue

Tanoue

: Ocular symptoms associated with a dural arteriovenous fistula involving the hypoglossal canal: Selective transvenous coil embolization: Case report. J Neurosurg 94: 630–632, 2001.

Komiyama

Ishiguro

: Intense pulse-synchronous tinnitus caused by dural arteriovenous fistula at the hypoglossal canal. No to Shinkei 54: 830–831, 2002.

Katsuta

Rhoton

Jr Matsushima

: The jugular foramen: Microsurgical anatomy and operative approaches. Neurosurgery 41: 149–202, 1997.

Lasjaunias

Berenstein

: Surgical Neuroangiography. New York: Springer-Verlag, 2, 273–315, 1987.

McDougall

Halbach

: Dural arteriovenous fistulas of the marginal sinus. Am J Neuroradiol 18: 1565–1572, 1997.

Dural Arteriovenous Fistula within the Hypoglossal Canal Successfully Treated by Transvenous Embolization

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