Skip to main content Accessibility help
×
Home

Endovascular Therapy of Hypoglossal Canal AVFs Presenting with Orbital Symptoms

  • Vladislav Miropolsky (a1), Leodante B. da Costa (a2), Thomas R. Marotta (a3) and Julian Spears (a4)

Abstract

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.

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Endovascular Therapy of Hypoglossal Canal AVFs Presenting with Orbital Symptoms
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Endovascular Therapy of Hypoglossal Canal AVFs Presenting with Orbital Symptoms
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Endovascular Therapy of Hypoglossal Canal AVFs Presenting with Orbital Symptoms
      Available formats
      ×

Copyright

Corresponding author

Division of Neurosurgery, St. Michael's Hospital, University of Toronto, Suite 1005, 2 Queen Street East, Toronto, Ontario, M5C 3G7, Canada.

References

Hide All
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;82:16679.
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;97:76770.
3.van Dijk, JM, ter Brugge, KG.Dural arteriovenous fistulas. J Neurosurg. 2002;97:1486; author reply 1486-7.
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;33:12336.
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;20:10316.
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;18:13543.
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;107:569.
8.Flannery, T, Tan, MH, Flynn, P, Choudhari, KA.Delayed post-surgical development of dural arteriovenous fistula after cervical meningocele repair. Neurol India. 2003;51:3901.
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;58:5964; discussion 64.
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;11:31921.
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;15:12830.
12.Uranishi, R, Nakase, H, Sakaki, T.Expression of angiogenic growth factors in dural arteriovenous fistula. J Neurosurg. 1999;91: 7816.
13.Feldman, RA, Hieshima, G, Giannotta, SL, Gade, GF.Traumatic dural arteriovenous fistula supplied by scalp, meningeal, and cortical arteries: case report. Neurosurgery. 1980;6:6704.
14.Stuckey, SL.Dilated venous plexus of the hypoglossal canal mimicking disease. AJNR Am J Neuroradiol. 1999;20:1578.
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;28:19158.
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;26:19559.
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;94:6302.
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: 201620.
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;87:55585.
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;23:15008.
21.Katsuta, T, Rhoton, AL Jr., Matsushima, T.The jugular foramen: microsurgical anatomy and operative approaches. Neurosurgery. 1997;41:149201; discussion 201-2.
22.Lasjaunias, P, Berenstein, A, ter Brugge, KG.Surgical neuro-angiography: 1 clinical vascular anatomy and variations. 2nd ed. Berlin: Springer-Verlag; 2001.
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;30:408; discussion 489.

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed