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Published on: January 27, 2015
Reversible symptomatic venous congestion after treatment of dural arteriovenous fistula using NBCA
A Uchino1, Y Numaguchi, R G Holloway
1Department of Radiology, Saga Medical School, Japan.
Abstract:
We treated a 73-year-old man with a dural arteriovenous fistula (AVF) with cortical venous drainage of the left mastoid region using transarterial embolization of the middle meningeal and occipital arteries with n-butyl 2-cyanoacrylate (NBCA). The patient's clinical symptoms improved dramatically. Three months after the procedure, follow-up CT showed resolution of white matter edema and follow-up angiograms showed no evidence of a recurrent AVF. This report indicates that dural AVFs without sinus drainage can be cured solely with transarterial NBCA embolization.
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