Atransverse-sigmoid dural arteriovenous fistula

Abstract

Ðåôåðàò Ìåòà. Ïîêðàùèòè ä³à´íîñòèêó ³ ë³êóâàííÿ äóðàëüíèõ àð-òåð³îâåíîçíèõ íîðèöü. Ìàòåð³àë ³ ìåòîäè. Îïèñàí³ ðåçóëüòàòè îáñòåaeåííÿ òà ë³êóâàííÿ àðòåð³îâåíîçíî¿ íîðèö³ â ïàçóõó òâåðäî¿ îáîëîíêè ãîëîâíîãî ìîçêó ó 65-ð³÷íî¿ õâîðî¿. Ðåçóëüòàòè é îáãîâîðåííÿ. AE³íêà â³êîì 65 ðîê³â çâåðíóëàñü ç³ ñêàðãàìè íà ïîñò³éíèé øóì ó ë³âîìó âóñ³, ãîëî-âîêðóae³ííÿ, ãîëîâí³ áîë³. Ñêàðãè òðèâàëè ïðîòÿãîì ðîêó. ²ç àíàìíåçó â³äîìî, ùî ø³ñòü ðîê³â òîìó ïàö³ºíòêà ïåðåíåñåëà ãí³éíèé îòèò. ϳä ÷àñ äîïëåðî´ðàô³¿ íà ð³âí³ ë³âî¿ çàãàëüíî¿ ñîííî¿ àðòå𳿠âèÿâëåíèé ñèñòîëîä³àñòî-ë³÷íèé ñêèä êðîâ³. ÌÐÒ-àíã³î´ðàô³÷íå îáñòåaeåííÿ â³çóà-ë³çóâàëî ðåêàíàë³çîâàíèé òðîìáîç ñèãìîâèäíîãî ñèíóñà òà àðòåð³îâåíîçíó íîðèöþ ³ç ïîòèëè÷íî¿ àðòå𳿠äî ïî-ïåðå÷íî¿ ïàçóõè òâåðäî¿ îáîëîíêè ãîëîâíîãî ìîçêó. Íîðèöÿ óñóíóòà øëÿõîì ïåðåâ'ÿçêè çîâí³øíüî¿ ñîííî¿ àð-òå𳿠òà ¿¿ äèñòàëüíèõ ã³ëîê. Âèñíîâîê. Ñèìïòîìàòè÷íà àðòåð³îâåíîçíà íîðèöÿ â ñè-íóñ³ òâåðäî¿ îáîëîíêè ãîëîâíîãî ìîçêó ìîaeå áóòè óñ-ï³øíî óñóíóòà øëÿõîì ïåðåâ'ÿçêè ãîäóþ÷èõ àðòåð³é ó àíàòîì³÷íî ñïðèÿòëèâèõ âèïàäêàõ. Êëþ÷îâ³ ñëîâà: äóðàëüíà àðòåð³îâåíîçíà íîðèöÿ, ÌÐÒ àíã³î´ðàô³ÿ, çîâí³øíÿ ñîííà àðòåð³ÿ Abstract ATRANSVERSE-SIGMOID DURAL ARTERIOVENOUS FISTULA Aim. To improve the diagnostics and treatment of dural arteriovenous fistulae. Material and Methods. The results of investigation and treatment of a dural arteriovenous fistula in a 65-year-old woman are described. Results and Discussions. A 65-year-old woman was admitted with complaints of a continuous ear murmur, dizziness, and headaches. The complaints lasted for one year. From her medical history it was known that she suffered from purulent otitis six years before. A systole-diastolic blood shunt was revealed at the level of her external carotid artery at the Doppler investigation. The MRI detected a recanalized sigmoid dural sinus and a fistula from the occipital artery to the transverse sinus. The fistula was eliminated by ligation of the external carotid artery and its branches. Conclusions. Symptomatic cranial dural arteriovenous