How I do it? surgical resection of craniocervical junction dural arteriovenous fistula.

Yang, Zixiao; Su, Xingfen; Wang, Zhicheng; Song, Jianping · Acta Neurochir (Wien) · 2024

case_report · Level V

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Abstract

Craniocervical junction (CCJ) dural arteriovenous fistulas (DAVFs) represent a rare yet critical vascular anomaly that may result in significant neurological impairments. We report the case of a 52-year-old male with a history of medullary hemorrhage who underwent surgical intervention for a left CCJ DAVF. Through comprehensive surgical planning and meticulous intraoperative monitoring, multiple feeders of the DAVF were safely coagulated and transected, with successful DAVF obliteration confirmed by intraoperative angiography. The patient demonstrated full recovery, underscoring the efficacy of surgical management in complex cases facilitated by advanced techniques in a hybrid operating theatre.

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