上矢状静脈洞壁硬膜動静脈瘻の根治後にS状静脈洞および上錐体静脈洞にIsolated Sinusとして再発した一例
「緒言」硬膜動静脈瘻(dural arteriovenous fistula; dural AVF)は, 海綿静脈洞, 横静脈洞, S状静脈洞部に好発し, そのほとんどは単発性であり時間的, 空間的に多発することは稀であり過去の報告も非常に少ない. 多発例はその存在部位も多岐にわたっていて, 単発例に比べ皮質静脈逆流(cortical reflux)を伴う場合が多く出血の危険度が高いとされている1). 我々は上矢状静脈洞壁硬膜動静脈瘻を根治後, 1年半後にS状静脈洞および上錐体静脈洞に再発した一例を経験したので, 文献的考察も加え報告する. 「症例呈示」「患者」: 63歳, 女性「主訴」: 意...
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| Published in | 日本神経救急学会雑誌 Vol. 24; no. 3; pp. 104 - 109 |
|---|---|
| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本神経救急学会
30.03.2012
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1619-3067 2187-5006 |
| DOI | 10.11170/jjcne.24.3_104 |
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| Abstract | 「緒言」硬膜動静脈瘻(dural arteriovenous fistula; dural AVF)は, 海綿静脈洞, 横静脈洞, S状静脈洞部に好発し, そのほとんどは単発性であり時間的, 空間的に多発することは稀であり過去の報告も非常に少ない. 多発例はその存在部位も多岐にわたっていて, 単発例に比べ皮質静脈逆流(cortical reflux)を伴う場合が多く出血の危険度が高いとされている1). 我々は上矢状静脈洞壁硬膜動静脈瘻を根治後, 1年半後にS状静脈洞および上錐体静脈洞に再発した一例を経験したので, 文献的考察も加え報告する. 「症例呈示」「患者」: 63歳, 女性「主訴」: 意識障害「既往歴」: 高血圧, 脳出血「現病歴」: 自宅で倒れている所を家族に発見され, 意識障害で当センターに搬送された. 来院時Glasgow Coma Scale(GCS)E3V1M6. 過去の脳出血で運動性失語を有し, 右麻痺(manual muscle test: MMT 3/5)の杖歩行であった. 「画像所見」: 左前頭～頭頂葉皮質下に脳浮腫を生じた脳室穿破を伴う脳出血(血腫量約20ml)を認めた(Fig.1-A, B). |
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| AbstractList | 「緒言」硬膜動静脈瘻(dural arteriovenous fistula; dural AVF)は, 海綿静脈洞, 横静脈洞, S状静脈洞部に好発し, そのほとんどは単発性であり時間的, 空間的に多発することは稀であり過去の報告も非常に少ない. 多発例はその存在部位も多岐にわたっていて, 単発例に比べ皮質静脈逆流(cortical reflux)を伴う場合が多く出血の危険度が高いとされている1). 我々は上矢状静脈洞壁硬膜動静脈瘻を根治後, 1年半後にS状静脈洞および上錐体静脈洞に再発した一例を経験したので, 文献的考察も加え報告する. 「症例呈示」「患者」: 63歳, 女性「主訴」: 意識障害「既往歴」: 高血圧, 脳出血「現病歴」: 自宅で倒れている所を家族に発見され, 意識障害で当センターに搬送された. 来院時Glasgow Coma Scale(GCS)E3V1M6. 過去の脳出血で運動性失語を有し, 右麻痺(manual muscle test: MMT 3/5)の杖歩行であった. 「画像所見」: 左前頭～頭頂葉皮質下に脳浮腫を生じた脳室穿破を伴う脳出血(血腫量約20ml)を認めた(Fig.1-A, B). |
| Author | 恩田, 秀賢 横田, 裕行 橋詰, 哲広 鈴木, 剛 渡邊, 顕弘 関, 厚二朗 布施, 明 松本, 学 五十嵐, 豊 和田, 剛志 |
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| References | 19) Kurl S, Vanninen R, Saari T, et al: Development of right transverse sinus dural arteriovenous malformation after embolization of a similar lesion on the left. Neuroradiology. 38: 386-388, 1996 5) Halbach VV, Higashida RT, Hieshima GB, et al: Treatment of dural arteriovenous malformations involving the superior sagittal sinus. AJNR 9: 337-343, 1988 23) Kiyosue H, Tanoue S, Okahara M, et al: Recurrence of Arteriovenous Fistula in Another Location After Selective Transvenous Coil Embolization. Am J Neuroradiol 23: 689-692, April 2002 8) Fujita A, Nakamura M, Tamaki N, et al: Multiple Dural Arteriovenous Fistulas Involving both the cavernous sinus and the posterior fossa. No Shinkei Geka. 29: 1065-1072, 2001 18) Kubota Y, Ueda T, Kaku Y, et al: Development of a dural arteriovenous fistula around the jugular valve after transvenous embolization of cavernous dural arteriovenous fistula. Surg Neurol 51: 174-176, 1999 7) Nakamura M, Tamaki N, Hara Y, et al: Two unusual cases of multiple arteriovenous fistulas. Neurosurgery 41: 288-293, 1997 11) Kawaguchi T, Kawano T, Kaneko Y, et al: Dural arteriovenous fistula of the transverse-sigmoid sinus with intraventricular hemorrhagea: case report. No Shinkei Geka 27(12): 1133-1138, 1999 15) Yamamoto H, Kuwayama N, Kurosaki K, et al: Multiple Dural Arteriovenous Fistulas developing at Different Locations A Report of Two Cases and a Review of the Literature. Jpn J Neurosurg 18: 687-692, 2009 17) Terada T, et al: Development of acquired arteriovenous fistulas in rats due to venous hypertention. J Neurosurg. 80: 884-889, 1994 20) Nakagawa H, Kubo S, Nakajima Y, et al: Shifting of dural arteriovenous malformation from the cavernous sinus to the sigmoid sinus to the transverse sinus after transvenous embolization. A case of left spontenous carotid-cavernous sinus fistula. Surg Neurol 37: 30-38, 1992 22) Yamashita K, Taki W, Nakahara I, et al: Development of sigmoid dural arteriovenous fistulas after transvers embolization of cavernous dural arteriovenous fistulas. AJNR 14: 1106-1108, 1993 4) Al-Shahi R, Bhattacharya JJ, CurrieDG, et al: Prospective, Population-based detection of intracranial vascular malformations in adults the Scottish Intracranial Vascular Malformation Study (SIVMS). Stroke 34: 1163-1169, 2003 12) Ikuya Y, Isao O, et al: Superior petrosal sinus dural artriovenous fistula resulting in subarachnoid hemorrhage after transvenous embolization: Case report. J NET 3: 29-33, 2009 16) Kuwayama N, Takaku A, Nishijima M, et al: Multiple dural arteriovenous malformations. Report of two cases. J Neurosurg. 71: 932-934, 1989 21) Makiuchi T, Takasaki M, Yamagami H, et al: A case of sigmoid sinus dural arteriovenous fistula after treated cavernous dural arteriovenous fistula.Interventical Neurosurg. 82: 159-165, 1998 3) Brown RD Jr, Wievers DO, Torner JC, et al: Incidence and prevalence of intracranial vascular malformations in Olmsted Country, Minnesota, 1965 to 1992. Neurology 46: 949-952, 1996 14) Kaku S, Ishii T, Hasegawa Y, et al: Multiple dural AVF occurring in the time and place of transverse-sigmoid sinus. Jpn J Stroke 31: 111-116, 2009 10) Iwaasa M, Takemoto K, Nakahara I, et al: Transversesigmoid dural arteriovenous fistula with subcortical calcification treated with transvenous embolization. JNET 1: 21-25, 2007 13) Yamaura I, Ozaki I, Kakita H, et al: Superior petrosal sinus dural arteriovenous fistula resulting in subarachnoid hemorrhage after transvenous embolization. JNET 3: 29-33, 2009 1) Van Dijk, TerBrugge, Rovert A.Willinsky, et al: Multiplicity of dural arteriovenous fistulas. J Neurosurg 96: 76, 2002 6) Stanley L. Barnwell, Van V. Halbach, Christopher F. Dowd, et al: Multiple dural arteriovenous fistulas of the cranium and spine. AJNR 12: 441-445, 1991 2) 桑山直也，久保道也，堀恵美子，他：わが国における頭蓋内および脊髄硬膜動静脈瘻の疫学調査．平成15年度−平成16年度科学研究費補助金（基礎研究（C）（2））研究成果報告，2005 9) Mullan S, Johnson DL: Combined sagittal and lateral sinus dural fistulae occulusion. J Neurosurg 82: 159-165, 1995 24) Uranishi R, Nakase H, Sakai T: Expresssion of angiogenic growth factors in dural arteriovenous fistula. J Neurosurg 91: 781-786, 1999 |
| References_xml | – reference: 14) Kaku S, Ishii T, Hasegawa Y, et al: Multiple dural AVF occurring in the time and place of transverse-sigmoid sinus. Jpn J Stroke 31: 111-116, 2009 – reference: 12) Ikuya Y, Isao O, et al: Superior petrosal sinus dural artriovenous fistula resulting in subarachnoid hemorrhage after transvenous embolization: Case report. J NET 3: 29-33, 2009 – reference: 2) 桑山直也，久保道也，堀恵美子，他：わが国における頭蓋内および脊髄硬膜動静脈瘻の疫学調査．平成15年度−平成16年度科学研究費補助金（基礎研究（C）（2））研究成果報告，2005 – reference: 23) Kiyosue H, Tanoue S, Okahara M, et al: Recurrence of Arteriovenous Fistula in Another Location After Selective Transvenous Coil Embolization. Am J Neuroradiol 23: 689-692, April 2002 – reference: 8) Fujita A, Nakamura M, Tamaki N, et al: Multiple Dural Arteriovenous Fistulas Involving both the cavernous sinus and the posterior fossa. No Shinkei Geka. 29: 1065-1072, 2001 – reference: 13) Yamaura I, Ozaki I, Kakita H, et al: Superior petrosal sinus dural arteriovenous fistula resulting in subarachnoid hemorrhage after transvenous embolization. JNET 3: 29-33, 2009 – reference: 3) Brown RD Jr, Wievers DO, Torner JC, et al: Incidence and prevalence of intracranial vascular malformations in Olmsted Country, Minnesota, 1965 to 1992. Neurology 46: 949-952, 1996 – reference: 5) Halbach VV, Higashida RT, Hieshima GB, et al: Treatment of dural arteriovenous malformations involving the superior sagittal sinus. AJNR 9: 337-343, 1988 – reference: 10) Iwaasa M, Takemoto K, Nakahara I, et al: Transversesigmoid dural arteriovenous fistula with subcortical calcification treated with transvenous embolization. JNET 1: 21-25, 2007 – reference: 17) Terada T, et al: Development of acquired arteriovenous fistulas in rats due to venous hypertention. J Neurosurg. 80: 884-889, 1994 – reference: 9) Mullan S, Johnson DL: Combined sagittal and lateral sinus dural fistulae occulusion. J Neurosurg 82: 159-165, 1995 – reference: 1) Van Dijk, TerBrugge, Rovert A.Willinsky, et al: Multiplicity of dural arteriovenous fistulas. J Neurosurg 96: 76, 2002 – reference: 6) Stanley L. Barnwell, Van V. Halbach, Christopher F. Dowd, et al: Multiple dural arteriovenous fistulas of the cranium and spine. AJNR 12: 441-445, 1991 – reference: 11) Kawaguchi T, Kawano T, Kaneko Y, et al: Dural arteriovenous fistula of the transverse-sigmoid sinus with intraventricular hemorrhagea: case report. No Shinkei Geka 27(12): 1133-1138, 1999 – reference: 22) Yamashita K, Taki W, Nakahara I, et al: Development of sigmoid dural arteriovenous fistulas after transvers embolization of cavernous dural arteriovenous fistulas. AJNR 14: 1106-1108, 1993 – reference: 16) Kuwayama N, Takaku A, Nishijima M, et al: Multiple dural arteriovenous malformations. Report of two cases. J Neurosurg. 71: 932-934, 1989 – reference: 19) Kurl S, Vanninen R, Saari T, et al: Development of right transverse sinus dural arteriovenous malformation after embolization of a similar lesion on the left. Neuroradiology. 38: 386-388, 1996 – reference: 7) Nakamura M, Tamaki N, Hara Y, et al: Two unusual cases of multiple arteriovenous fistulas. Neurosurgery 41: 288-293, 1997 – reference: 21) Makiuchi T, Takasaki M, Yamagami H, et al: A case of sigmoid sinus dural arteriovenous fistula after treated cavernous dural arteriovenous fistula.Interventical Neurosurg. 82: 159-165, 1998 – reference: 20) Nakagawa H, Kubo S, Nakajima Y, et al: Shifting of dural arteriovenous malformation from the cavernous sinus to the sigmoid sinus to the transverse sinus after transvenous embolization. A case of left spontenous carotid-cavernous sinus fistula. Surg Neurol 37: 30-38, 1992 – reference: 24) Uranishi R, Nakase H, Sakai T: Expresssion of angiogenic growth factors in dural arteriovenous fistula. J Neurosurg 91: 781-786, 1999 – reference: 4) Al-Shahi R, Bhattacharya JJ, CurrieDG, et al: Prospective, Population-based detection of intracranial vascular malformations in adults the Scottish Intracranial Vascular Malformation Study (SIVMS). Stroke 34: 1163-1169, 2003 – reference: 15) Yamamoto H, Kuwayama N, Kurosaki K, et al: Multiple Dural Arteriovenous Fistulas developing at Different Locations A Report of Two Cases and a Review of the Literature. Jpn J Neurosurg 18: 687-692, 2009 – reference: 18) Kubota Y, Ueda T, Kaku Y, et al: Development of a dural arteriovenous fistula around the jugular valve after transvenous embolization of cavernous dural arteriovenous fistula. Surg Neurol 51: 174-176, 1999 |
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| Snippet | 「緒言」硬膜動静脈瘻(dural arteriovenous fistula; dural AVF)は, 海綿静脈洞, 横静脈洞, S状静脈洞部に好発し, そのほとんどは単発性であり時間的, 空間的に多... |
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| SubjectTerms | S状静脈洞 上矢状静脈洞 再発 硬膜動静脈瘻 |
| Title | 上矢状静脈洞壁硬膜動静脈瘻の根治後にS状静脈洞および上錐体静脈洞にIsolated Sinusとして再発した一例 |
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