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Neuroradiology

, Volume 60, Issue 5, pp 487–496 | Cite as

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

  • Katsuhiro MizutaniEmail author
  • Takenori Akiyama
  • Yasuhiro Minami
  • Masahiro Toda
  • Hirokazu Fujiwara
  • Masahiro Jinzaki
  • Kazunari Yoshida
Diagnostic Neuroradiology

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.

Keywords

Anterior condylar vein Hypoglossal canal Jugular tubercle Exoccipital Dural arteriovenous fistula Osseous vein 

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

Notes

Acknowledgements

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

Compliance with ethical standards

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.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of NeurosurgeryKeio University School of MedicineShinjuku, TokyoJapan
  2. 2.Department of RadiologyKeio University School of MedicineShinjuku, TokyoJapan

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