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Multimodal Treatment Approach for a Recurrent Hemorrhagic Scalp Arteriovenous Fistula: A Case Report.
Cureus
November 2024
Department of Neurosurgery, International University of Health and Welfare Narita Hospital, Narita, JPN.
Scalp arteriovenous fistula (AVF) is a rare vascular malformation that may present as a pulsatile scalp mass with complications like hemorrhage. We report a case of a large scalp AVF with recurrent bleeding, managed successfully with a multimodal approach. A 46-year-old man presented with a recurrently bleeding pulsatile scalp mass in the left temporal region, initially diagnosed as AVF following trauma.
View Article and Find Full Text PDFTotal gastrectomy with Roux-en-Y esophagojejunostomy is a common surgical treatment for early gastric cancer; however, postoperative complications such as anastomotic leaks remain a serious risk. This report details a 59-year-old female who underwent total gastrectomy with Roux-en-Y esophagojejunostomy for early gastric cancer, followed by percutaneous embolization for esophagojejunal (EJ) anastomotic leakage. Despite initial percutaneous drainage for fluid accumulation at the EJ site, subsequent CT revealed significant anastomotic dehiscence.
View Article and Find Full Text PDFComparative efficacy and safety of N-butyl cyanoacrylate vs. Onyx in the treatment of arteriovenous malformations: a systematic review and meta-analysis.
Neurosurg Rev
November 2024
Division of Neurovascular Surgery and Endovascular Neurosurgery, Department of Neurological Surgery, Thomas Jefferson University Hospital, 901 Walnut street 3rd Floor, Philadelphia, PA, 19107, USA.
Since the first use of embolization for cerebral arteriovenous malformations (AVMs) by Luessenhop and Spence in 1960, this procedure has become a cornerstone in the multimodal treatment approach for brain AVMs. Currently, in the United States, the main embolic agents employed are n-butyl cyanoacrylate (NBCA) and Onyx (Medtronic, Minneapolis, MN). This systematic review and meta-analysis aim to compare these two agents in terms of efficacy and safety.
View Article and Find Full Text PDFProgressive headache and neck pain associated with neck rotation due to a congenital external carotid-jugular arteriovenous fistula: illustrative case.
J Neurosurg Case Lessons
November 2024
Department of Neurosurgery, Kurashiki Central Hospital, Kurashiki, Japan.
Background: Congenital external carotid-jugular arteriovenous fistulas (AVFs) are often diagnosed based on a pulsatile neck mass. Patients rarely complain of headaches or neck pain.
Observations: A 45-year-old woman with no history of trauma had been diagnosed with a congenital cervical external carotid AVF 10 years earlier.
Chronic Subdural Hematoma in the Posterior Fossa Associated with Hearing Impairment during Warfarin Therapy, Improved by Middle Meningeal Artery Embolization: A Case Report.
NMC Case Rep J
October 2024
Department of Neurological Surgery, Kagawa Prefectural Central Hospital, Takamatsu, Kagawa, Japan.
Article Synopsis
- Chronic subdural hematoma (CSDH) in the posterior fossa is uncommon, and both its cause and treatment options are not well established.
- This case study discusses a 59-year-old man on warfarin who underwent successful middle meningeal artery (MMA) embolization after being diagnosed with CSDH, initially presenting with hearing loss and headaches.
- Following the procedure, the patient showed immediate improvement in symptoms, was discharged after 10 days, and had no recurrence 100 days later, highlighting the efficacy of MMA embolization while maintaining anticoagulation therapy.
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