2011年11月
Lumbar peritoneal shunt containing a programmable valve for intracranial hypertension caused by Borden type 1 dural arteriovenous fistulas
ACTA NEUROCHIRURGICA
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- 巻
- 153
- 号
- 11
- 開始ページ
- 2219
- 終了ページ
- 2223
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.1007/s00701-011-1134-y
- 出版者・発行元
- SPRINGER WIEN
Three male patients underwent lumbar peritoneal (LP) shunt for intracranial hypertension caused by intracranial Borden type 1 dural arteriovenous fistulas (D-AVFs). Endovascular treatment was performed initially, but it was ineffective in all cases. Before LP shunt, the Mariotte blind spot expanded in all cases and severe papilledema was observed in two cases. We managed the opening pressure of the shunt system in accordance with patient symptoms. Mariotte blind spot expansion and papilledema disappeared after LP shunt. Follow-up cerebral angiography revealed spontaneous closure of D-AVFs in one case and aggressive conversion in two cases. D-AVFs were completely closed by transvenous embolization. Because the angioarchitecture of the fistula frequently worsens without deterioration of the symptom after LP shunt, follow-up angiography and additional treatment are important.
- リンク情報
- ID情報
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- DOI : 10.1007/s00701-011-1134-y
- ISSN : 0001-6268
- PubMed ID : 21879338
- Web of Science ID : WOS:000296083700016