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Dural arteriovenous fistula manifesting as pontine hemorrhage at the craniocervical junction

  • Case Report - Vascular
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Abstract

Craniocervical junction (CCJ) dural arteriovenous fistula (DAVF) manifesting as intracerebral hemorrhage is extremely rare. We report the first case of CCJ-DAVF manifesting as pontine hemorrhage. A 69-year-old male presented with a pontine hemorrhage manifesting as a sudden onset of right hemiparesis and dysarthria. Digital subtraction angiography revealed a CCJ-DAVF fed by the meningeal branches of the right vertebral artery. The patient underwent surgical ligation of the cerebral draining veins to prevent re-bleeding. The postoperative course was uneventful. The patient had no neurological deficit after 1 month rehabilitation.

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Authors and Affiliations

  1. Department of Neurosurgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga-shi, Saga, 849-8501, Japan

    Xuan Liu, Atsushi Ogata, Jun Masuoka, Kohei Inoue, Yukiko Nakahara, Shoko Shimokawa, Yukinori Takase & Tatsuya Abe

  2. Division of Neurology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, Japan

    Yusuke Yakushiji & Hideo Hara

Authors
  1. Xuan Liu
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  2. Atsushi Ogata
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  3. Jun Masuoka
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  4. Kohei Inoue
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  5. Yukiko Nakahara
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  6. Shoko Shimokawa
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  7. Yukinori Takase
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  8. Yusuke Yakushiji
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  9. Hideo Hara
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  10. Tatsuya Abe
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Correspondence to Atsushi Ogata.

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Liu, X., Ogata, A., Masuoka, J. et al. Dural arteriovenous fistula manifesting as pontine hemorrhage at the craniocervical junction. Acta Neurochir 159, 831–834 (2017). https://doi.org/10.1007/s00701-017-3135-y

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  • DOI: https://doi.org/10.1007/s00701-017-3135-y

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