Transvenous Coil Embolization for Dural Arteriovenous Fistula of the Anterior Condylar Confluence – a Case Report

  • Manoj Bohara Department of Neuroendovascular Therapy, Juntendo University Faculty of Medicine, Tokyo
  • Kosuke Teranishi Department of Neurosurgery, Juntendo University Faculty of Medicine, Tokyo
  • Kenji Yatomi Department of Neurosurgery, Juntendo University Faculty of Medicine, Tokyo
  • Takashi Fujii Department of Neuroendovascular Therapy, Juntendo University Faculty of Medicine, Tokyo, Department of Neurosurgery, Juntendo University Faculty of Medicine, Tokyo
  • Takayuki Kitamura Department of Neurosurgery, Juntendo University Faculty of Medicine, Tokyo
  • Munetaka Yamamoto Department of Neurosurgery, Juntendo University Faculty of Medicine, Tokyo
  • Hidenori Oishi Department of Neuroendovascular Therapy, Juntendo University Faculty of Medicine, Tokyo, Department of Neurosurgery, Juntendo University Faculty of Medicine, Tokyo
Keywords: Dural arteriovenous fistula, Anterior condylar confluence, Transvenous embolization, Hypoglossal canal

Abstract

Dural arteriovenous fistula (DAVF) of the anterior condylar confluence (ACC) is a rare entity accounting for about 3.6% of all DAVFs. We report on a 63-year-old male patient who presented with pulsatile tinnitus. Angiography revealed a DAVF supplied mainly by neuromeningeal branches of bilateral ascending pharyngeal arteries and draining into the ACC. Transvenous transjugular coil embolization was performed resulting in complete obliteration of the fistula and resolution of the symptoms. Due to the complexity of this venous structure at the skull base, detailed angiographic study is crucial for proper therapeutic planning and management of the patient. We here discuss the clinico-radiological features and various treatment modalities of the ACC DAVF.

Nepal Journal of Neuroscience, Volume 15, Number 2, 2018, page: 41-44

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Author Biography

Manoj Bohara, Department of Neuroendovascular Therapy, Juntendo University Faculty of Medicine, Tokyo
MD, PhD
Published
2018-09-04
How to Cite
Bohara, M., Teranishi, K., Yatomi, K., Fujii, T., Kitamura, T., Yamamoto, M., & Oishi, H. (2018). Transvenous Coil Embolization for Dural Arteriovenous Fistula of the Anterior Condylar Confluence – a Case Report. Nepal Journal of Neuroscience, 15(2), 41-44. https://doi.org/10.3126/njn.v15i2.20992
Section
Case Report