Case Report

Iatrogenic dural arteriovenous fistula after radical neck dissection for metastatic malignant disease: A case report

Japhet Gideon Ngerageza MD

Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan

Department of Orthopaedics, Traumatology and Neurosurgery, School of Medicine of the Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania

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Tetsuyoshi Horiuchi MD,

Corresponding Author

Tetsuyoshi Horiuchi MD

Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan

Corresponding author: T. Horiuchi, Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan, 3-1-1 Asahi, Matsumoto 390–8621, Japan. E-mail: [email protected]Search for more papers by this author

Takahiro Murata MD,

Takahiro Murata MD

Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan

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Tatsuro Aoyama MD,

Tatsuro Aoyama MD

Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan

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Kazuhiro Hongo MD,

Kazuhiro Hongo MD

Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan

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Japhet Gideon Ngerageza MD,

Japhet Gideon Ngerageza MD

Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan

Department of Orthopaedics, Traumatology and Neurosurgery, School of Medicine of the Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania

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Tetsuyoshi Horiuchi MD,

Corresponding Author

Tetsuyoshi Horiuchi MD

Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan

Takahiro Murata MD,

Takahiro Murata MD

Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan

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Tatsuro Aoyama MD,

Tatsuro Aoyama MD

Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan

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Kazuhiro Hongo MD,

Kazuhiro Hongo MD

Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan

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First published: 28 August 2015

https://doi.org/10.1002/hed.24202

Citations: 9

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Abstract

Background

A case of dural arteriovenous fistula (dAVF) developed after radical neck dissection for lymph node metastasis 2 years after oral surgery for tongue cancer.

Methods

The patient was asymptomatic during follow-up visits with no evidence of metastasis on follow-up CT scan of the neck. However, diagnostic angiography showed left internal carotid artery (ICA) stenosis and dAVF involving the posterior meningeal artery and transverse sinus at the left posterior fossa with cortical venous reflux (Cognard type III). They were treated with carotid stenting and surgery, respectively.

Results

The postoperative course was uneventful. Follow-up angiography revealed obliteration of the dAVF.

Conclusion

This was a rare case of iatrogenic dAVF after surgical ligation of venous outflow during radical neck dissection. The surgical plan is presented along with a literature review regarding the development of iatrogenic dAVFs induced by direct surgical trauma. © 2015 Wiley Periodicals, Inc. Head Neck 38: E87–E90, 2016

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Volume38, Issue4

April 2016

Pages E87-E90

Iatrogenic dural arteriovenous fistula after radical neck dissection for metastatic malignant disease: A case report

Abstract

Background

Methods

Results

Conclusion

REFERENCES

Citing Literature

References

Information

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Iatrogenic dural arteriovenous fistula after radical neck dissection for metastatic malignant disease: A case report

Abstract

Background

Methods

Results

Conclusion

REFERENCES

Citing Literature

References

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