Hostname: page-component-8448b6f56d-qsmjn Total loading time: 0 Render date: 2024-04-16T04:47:46.177Z Has data issue: false hasContentIssue false
  • English
  • Français

Endovascular Therapy of Hypoglossal Canal AVFs Presenting with Orbital Symptoms

Published online by Cambridge University Press:  02 December 2014

Vladislav Miropolsky ,
Leodante B. da Costa ,
Thomas R. Marotta  and
Julian Spears
Vladislav Miropolsky
Affiliation:
St. Michael's Hospital, Department of Medical Imaging, University of Toronto
Leodante B. da Costa
Affiliation:
Division of Neurosurgery, Sunnybrook Hospital, Toronto, Ontario
Thomas R. Marotta
Affiliation:
Diagnostic & Therapeutic Neuroradiology, University of Toronto
Julian Spears*
Affiliation:
Division of Neurosurgery, University of Toronto
*
Division of Neurosurgery, St. Michael's Hospital, University of Toronto, Suite 1005, 2 Queen Street East, Toronto, Ontario, M5C 3G7, Canada.
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Objective:

Dural arteriovenous fistulae (DAVF) of the hypoglossal canal region are rare lesions. We describe three cases of DAVF of the hypoglossal canal presenting with ocular symptoms and discuss the endovascular management options.

Methods:

Three consecutive patients with DAVF of the hypoglossal canal region presented with proptosis, chemosis and disturbances of extra-ocular mobility. Each patient was treated using a different endovascular approach, based on variations of the vascular access.

Results:

The cases and treatments are reviewed, with a literature review on the subject. Endovascular treatment, transvenous or trans-arterial was curative in all cases.

Conclusion:

DAVF of the hypoglossal canal region can present with ocular manifestations very similar to DAVF of the cavernous sinus or carotid-cavernous fistulas. Endovascular treatment is usually feasible and effective, but an understanding of the vascular anatomy and pathophysiology of the disease are of utmost importance when planning the approach.

Type
Other
Information
Canadian Journal of Neurological Sciences , Volume 36 , Issue 6 , November 2009 , pp. 745 - 750
Copyright
Copyright © The Canadian Journal of Neurological 2009

References

1.Borden, JA, Wu, JK, Shucart, WA.A proposed classification for spinal and cranial dural arteriovenous fistulous malformations and implications for treatment. J Neurosurg. 1995;82:166–79.CrossRefGoogle ScholarPubMed
2.Satomi, J, van Dijk, JM, ter Brugge, KG, Willinsky, RA, Wallace, MC.Benign cranial dural arteriovenous fistulas: Outcome of conservative management based on the natural history of the lesion. J Neurosurg. 2002;97:767–70.CrossRefGoogle ScholarPubMed
3.van Dijk, JM, ter Brugge, KG.Dural arteriovenous fistulas. J Neurosurg. 2002;97:1486; author reply 1486-7.Google ScholarPubMed
4.van Dijk, JM, ter Brugge, KG, Willinsky, RA, Wallace, MC.Clinical course of cranial dural arteriovenous fistulas with long-term persistent cortical venous reflux. Stroke. 2002;33:1233–6.CrossRefGoogle ScholarPubMed
5.Willinsky, R, Goyal, M, ter Brugge, K, Montanera, W.Tortuous, engorged pial veins in intracranial dural arteriovenous fistulas: correlations with presentation, location, and MR findings in 122 patients. AJNR Am J Neuroradiol. 1999;20:1031–6.Google Scholar
6.Safavi-Abbasi, S, Di Rocco, F, Nakaji, P, Feigl, GC, Gharabaghi, A, Samii, M, et al.A Thrombophilia due to factor v and factor ii mutations and formation of a dural arteriovenous fistula: case report and review of a rare entity. Skull Base. 2008;18:135–43.CrossRefGoogle ScholarPubMed
7.van Dijk, JM, ter Brugge, KG, Van der Meer, FJ, Wallace, MC, Rosendaal, FR.Thrombophilic factors and the formation of dural arteriovenous fistulas. J Neurosurg. 2007;107:56–9.CrossRefGoogle ScholarPubMed
8.Flannery, T, Tan, MH, Flynn, P, Choudhari, KA.Delayed post-surgical development of dural arteriovenous fistula after cervical meningocele repair. Neurol India. 2003;51:390–1.Google ScholarPubMed
9.Yassari, R, Jahromi, B, Macdonald, R.Dural arteriovenous fistula after craniotomy for pilocytic astrocytoma in a patient with protein s deficiency. Surg Neurol. 2002;58:59–64; discussion 64.CrossRefGoogle Scholar
10.Singh, V, Meyers, PM, Halbach, VH, Gress, DR, Higashida, RT, Dowd, CF, et al.Dural arteriovenous fistula associated with prothrombin gene mutation. J Neuroimaging. 2001;11:319–21.CrossRefGoogle ScholarPubMed
11.Witt, O, Pereira, PL, Tillmann, W.Severe cerebral venous sinus thrombosis and dural arteriovenous fistula in an infant with protein s deficiency. Childs Nerv Syst. 1999;15:128–30.CrossRefGoogle Scholar
12.Uranishi, R, Nakase, H, Sakaki, T.Expression of angiogenic growth factors in dural arteriovenous fistula. J Neurosurg. 1999;91: 781–6.CrossRefGoogle ScholarPubMed
13.Feldman, RA, Hieshima, G, Giannotta, SL, Gade, GF.Traumatic dural arteriovenous fistula supplied by scalp, meningeal, and cortical arteries: case report. Neurosurgery. 1980;6:670–4.CrossRefGoogle ScholarPubMed
14.Stuckey, SL.Dilated venous plexus of the hypoglossal canal mimicking disease. AJNR Am J Neuroradiol. 1999;20:157–8.Google ScholarPubMed
15.Turner, RD, Gonugunta, V, Kelly, ME, Masaryk, TJ, Fiorella, DJ.Marginal sinus arteriovenous fistulas mimicking carotid cavernous fistulas: diagnostic and therapeutic considerations. AJNR Am J Neuroradiol. 2007;28:1915–8.CrossRefGoogle ScholarPubMed
16.Tanoue, S, Goto, K, Oota, S.Endovascular treatment for dural arteriovenous fistula of the anterior condylar vein with unusual venous drainage: report of two cases. AJNR Am J Neuroradiol. 2005;26:1955–9.Google ScholarPubMed
17.Kiyosue, H, Tanoue, S, Okahara, M, Mori, M, Mori, H.Ocular symptoms associated with a dural arteriovenous fistula involving the hypoglossal canal: selective transvenous coil embolization. Case report. J Neurosurg. 2001;94:630–2.CrossRefGoogle ScholarPubMed
18.Ernst, R, Bulas, R, Tomsick, T, van Loveren, H, Aziz, KA.Three cases of dural arteriovenous fistula of the anterior condylar vein within the hypoglossal canal. AJNR Am J Neuroradiol. 1999;20: 2016–20.Google ScholarPubMed
19.Wen, HT, Rhoton, AL Jr., Katsuta, T, de Oliveira, E.Microsurgical anatomy of the transcondylar, supracondylar, and paracondylar extensions of the far-lateral approach. J Neurosurg. 1997;87:555–85.CrossRefGoogle ScholarPubMed
20.San Millan Ruiz, D, Gailloud, P, Rufenacht, DA, Delavelle, J, Henry, F, Fasel, JH.The craniocervical venous system in relation to cerebral venous drainage. AJNR Am J Neuroradiol. 2002;23:1500–8.Google ScholarPubMed
21.Katsuta, T, Rhoton, AL Jr., Matsushima, T.The jugular foramen: microsurgical anatomy and operative approaches. Neurosurgery. 1997;41:149–201; discussion 201-2.CrossRefGoogle ScholarPubMed
22.Lasjaunias, P, Berenstein, A, ter Brugge, KG.Surgical neuro-angiography: 1 clinical vascular anatomy and variations. 2nd ed. Berlin: Springer-Verlag; 2001.CrossRefGoogle Scholar
23.Tirakotai, W, Benes, L, Kappus, C, Sure, U, Farhoud, A, Bien, S, et al.Surgical management of dural arteriovenous fistulas with transosseous arterial feeders involving the jugular bulb. Neurosurg Rev. 2007;30:40–8; discussion 48–9.CrossRefGoogle ScholarPubMed