Skip to main content
SpringerLink
Log in

Intraosseous venous structures adjacent to the jugular tubercle associated with an anterior condylar dural arteriovenous fistula

  • Diagnostic Neuroradiology
  • Published:
Neuroradiology Aims and scope Submit manuscript

Abstract

Purpose

Although involvement of the osseous component with an anterior condylar dural arteriovenous fistula (AC-DAVF) has been frequently described, osseous venous structures in which AC-DAVFs develop have not been fully elucidated. We investigated osseous venous structures adjacent to the hypoglossal canal in normal controls and patients with AC-DAVFs.

Methods

The study included 50 individuals with unruptured aneurysms as normal controls and seven patients with AC-DAVFs. Osseous venous structures adjacent to the hypoglossal canal in normal controls were analyzed using computed tomography (CT) digital subtraction venography. In patients with AC-DAVFs, the fistulous pouches, draining veins, and surrounding venous structures were examined using cone beam CT.

Results

In 46.0% of laterals in normal controls, osseous venous structures were visualized within the jugular tubercle superomedially to the hypoglossal canal. We named these structures the jugular tubercle venous complex (JTVC). The JTVC was always continuous with the anterior condylar vein and was sometimes connected to surrounding venous channels. We detected nine fistulous pouches in the seven patients with AC-DAVFs. The fistulous pouches were in the JTVC (33.3%), anterior condylar vein (33.3%), and other venous channels within the exoccipital region (33.3%).

Conclusion

Although the JTVC is a venous structure frequently found in normal people, it had not been investigated until now. The venous channel between the anterior condylar vein and JTVC is a common origin site for AC-DAVFs, and it was associated with 66.6% of the AC-DAVF cases in the current study.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

Abbreviations

AC-DAVF:

Anterior condylar dural arteriovenous fistula

CBCT:

Cone beam CT

CTA:

CT angiography

CT-DSA:

CT digital subtraction angiography

CT-DSV:

CT digital subtraction venography

DAVF:

Dural arteriovenous fistula

JTVC:

Jugular tubercle venous complex

TVE:

Transvenous embolization

References

  1. Manabe S, Satoh K, Matsubara S, Satomi J, Hanaoka M, Nagahiro S (2008) Characteristics, diagnosis and treatment of hypoglossal canal dural arteriovenous fistula: report of nine cases. Neuroradiology 50(8):715–721. https://doi.org/10.1007/s00234-008-0393-7

    Article  PubMed  Google Scholar 

  2. Hsu YH, Lee CW, Liu HM, Wang YH, Chen YF (2014) Endovascular treatment and computed imaging follow-up of 14 anterior condylar dural arteriovenous fistulas. Interv Neuroradiol 20(3):368–377. https://doi.org/10.15274/INR-2014-10028

    Article  PubMed  PubMed Central  Google Scholar 

  3. McDougall CG, Van Halbach V, Dowd CF et al (1997) Dural arteriovenous fistulas of the marginal sinus. Am J Neuroradiol 18(8):1565–1572

    CAS  PubMed  Google Scholar 

  4. Tanoue S, Goto K, Oota S (2005) Endovascular treatment for dural arteriovenous fistula of the anterior condylar vein with unusual venous drainage: report of two cases. Am J Neuroradiol 26(8):1955–1959

    PubMed  Google Scholar 

  5. Ernst R, Bulas R, Tomsick T, van Loveren H, Aziz KA (1999) Three cases of dural arteriovenous fistula of the anterior condylar vein within the hypoglossal canal. Am J Neuroradiol 20(10):2016–2020

    CAS  PubMed  Google Scholar 

  6. Kiyosue H, Tanoue S, Okahara M, Mori M, Mori H (2001) Ocular symptoms associated with a dural arteriovenous fistula involving the hypoglossal canal: selective transvenous coil embolization. Case report. J Neurosurg 94(4):630–632. https://doi.org/10.3171/jns.2001.94.4.0630

    Article  CAS  PubMed  Google Scholar 

  7. Choi JW, Kim BM, Kim DJI et al (2013) Hypoglossal canal dural arteriovenous fistula: incidence and the relationship between symptoms and drainage pattern. J Neurosurg 119(4):955–960. https://doi.org/10.3171/2013.4.JNS121974

    Article  PubMed  Google Scholar 

  8. Okahara M, Kiyosue H, Tanoue S, Sagara Y, Hori Y, Kashiwagi J, Mori H (2007) Selective transvenous embolization of dural arteriovenous fistulas involving the hypoglossal canal. Interv Neuroradiol 13(1):59–66. https://doi.org/10.1177/159101990701300108

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Spittau B, Millán D, El-Sherifi S (2014) Dural arteriovenous fistulas of the hypoglossal canal: systematic review on imaging anatomy, clinical findings, and endovascular management. J Neurosurg 122:1–21. https://doi.org/10.3171/2014.10.JNS14377.Disclosure

    Google Scholar 

  10. Miyachi S, Ohshima T, Izumi T, Kojima T, Yoshida J (2008) Dural arteriovenous fistula at the anterior condylar confluence. Interv Neuroradiol 14(3):303–311. https://doi.org/10.1177/159101990801400311

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Okamura A, Nakaoka M, Ohbayashi N, Yahara K, Nabika S (2016) Intraoperative cone-beam computed tomography contributes to avoiding hypoglossal nerve palsy during transvenous embolization for dural arteriovenous fistula of the anterior condylar confluence. Interv Neuroradiol 22(5):584–589. https://doi.org/10.1177/1591019916654141

    Article  PubMed  PubMed Central  Google Scholar 

  12. Liu JK, Mahaney K, Barnwell SL, McMenomey SO, Delashaw JB Jr (2008) Dural arteriovenous fistula of the anterior condylar confluence and hypoglossal canal mimicking a jugular foramen tumor. J Neurosurg 109(2):335–340. https://doi.org/10.3171/JNS/2008/109/8/0335

    Article  PubMed  Google Scholar 

  13. Tirakotai W, Benes L, Kappus C, Sure U, Farhoud A, Bien S, Bertalanffy H (2007) Surgical management of dural arteriovenous fistulas with transosseous arterial feeders involving the jugular bulb. Neurosurg Rev 30(1):40–48. https://doi.org/10.1007/s10143-006-0056-2

    Article  CAS  PubMed  Google Scholar 

  14. Jung C, Kwon BJ, Kwon OK, Baik SK, Han MH, Kim JE, Oh CW (2009) Intraosseous cranial dural arteriovenous fistula treated with transvenous embolization. Am J Neuroradiol 30(6):1173–1177. https://doi.org/10.3174/ajnr.A1528

    Article  CAS  PubMed  Google Scholar 

  15. Kanemaru K, Yoshioka H, Yagi T, Wakai T, Hashimoto K, Fukumoto Y, Suzuki K, Tateoka T, Kazama H, Kinouchi H (2015) Hypoglossal canal dural arteriovenous fistula embolized under precise anatomical evaluation by selective intra-arterial injection computed tomography angiography. Interv Neuroradiol 21(1):88–93. https://doi.org/10.1177/INR-2014-10104

    Article  PubMed  PubMed Central  Google Scholar 

  16. Mizutani K, Toda M, Kurasawa J, Akiyama T, Fujiwara H, Jinzaki M, Yoshida K (2017) Analysis of the venous channel within the clivus using multidetector computed tomography digital subtraction venography. Neuroradiology 59(3):213–219. https://doi.org/10.1007/s00234-017-1784-4

    Article  PubMed  Google Scholar 

  17. San Millán Ruíz D, Gailloud P, Rüfenacht DA, Delavelle J, Henry F, Fasel JH (2002) The craniocervical venous system in relation to cerebral venous drainage. AJNR Am J Neuroradiol 23(9):1500–1508

    PubMed  Google Scholar 

  18. Tanoue S, Kiyosue H, Sagara Y et al (2010) Venous structures at the craniocervical junction: anatomical variations evaluated by multidetector row CT. Br J Radiol 83:831–840. https://doi.org/10.1259/bjr/85248833

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Nowinski WL, Thaung TSL, Choon Chua B et al (2015) Three-dimensional stereotactic atlas of the extracranial vasculature correlated with the intracranial vasculature, cranial nerves, skull and muscles. Neuroradiol J 28(2):190–197. https://doi.org/10.1177/1971400915576669

    Article  PubMed  PubMed Central  Google Scholar 

  20. Mortazavi MM, Shane Tubbs R, Riech S, Verma K, Shoja MM, Zurada A, Benninger B, Loukas M, Cohen Gadol AA (2012) Anatomy and pathology of the cranial emissary veins: a review with surgical implications. Neurosurgery 70(5):1312–1318. https://doi.org/10.1227/NEU.0b013e31824388f8

    Article  PubMed  Google Scholar 

  21. Stuckey SL (1999) Dilated venous plexus of the hypoglossal canal mimicking disease. Am J Neuroradiol 20(1):157–158

    CAS  PubMed  Google Scholar 

  22. Tobinick E, Vega CP (2006) The cerebrospinal venous system: anatomy, physiology, and clinical implications. Med Gen Med 8:53

    Article  Google Scholar 

  23. Blomquist MH, Barr JD, Hurst RW (1998) Isolated unilateral hypoglossal neuropathy caused by dural arteriovenous fistula. AJNR Am J Neuroradiol 19(5):951–953

    CAS  PubMed  Google Scholar 

  24. Cyril C, Ofélia M, Hervé D (2013) Dural arteriovenous fistula involving the anterior condylar canal. J Neuroimaging 23(3):425–428. https://doi.org/10.1111/j.1552-6569.2012.00718.x

    Article  PubMed  Google Scholar 

  25. Hagiwara S, Miyazaki T, Tsuji M, Kambara M, Yoshikane T, Nagai H, Akiyama Y (2016) Case report a case of de novo anterior condylar dural arteriovenous fistula long after curative transvenous embolization of contralateral anterior condylar arteriovenous fistula. Case Rep Med 2016:6974526–6974524. https://doi.org/10.1155/2016/6974526

    Article  PubMed  PubMed Central  Google Scholar 

  26. Berenstein A, Lasjaunias P, ter Brugge KG (2004) Dural arteriovenous shunts. In: Surgical neuroangiography. Springer, Berlin, pp 565–607. https://doi.org/10.1007/978-3-642-18888-6_8

    Chapter  Google Scholar 

  27. Bertalanffy H, Seeger W (1991) The dorsolateral, suboccipital, transcondylar approach to the lower clivus and anterior portion of the craniocervical junction. Neurosurgery 29(6):815–821. https://doi.org/10.1227/00006123-199112000-00002

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

The authors thank Dr. Masaki Komiyama and Dr. Kittipong Srivatanakul for their advice and suggestions on neurovascular anatomy.

Author information

Authors and Affiliations

  1. Department of Neurosurgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo, 160-8582, Japan

    Katsuhiro Mizutani, Takenori Akiyama, Masahiro Toda & Kazunari Yoshida

  2. Department of Radiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo, Japan

    Yasuhiro Minami, Hirokazu Fujiwara & Masahiro Jinzaki

Authors
  1. Katsuhiro Mizutani
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Takenori Akiyama
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Yasuhiro Minami
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Masahiro Toda
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Hirokazu Fujiwara
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Masahiro Jinzaki
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Kazunari Yoshida
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Katsuhiro Mizutani.

Ethics declarations

Funding

No funding was received for this study.

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

We declare that all human studies have been approved by the ethics committee of Keio University School of Medicine and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Mizutani, K., Akiyama, T., Minami, Y. et al. Intraosseous venous structures adjacent to the jugular tubercle associated with an anterior condylar dural arteriovenous fistula. Neuroradiology 60, 487–496 (2018). https://doi.org/10.1007/s00234-018-1990-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00234-018-1990-8

Keywords

Search

Navigation