{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T22:37:31Z","timestamp":1720737451798},"reference-count":6,"publisher":"Georg Thieme Verlag KG","issue":"S 01","license":[{"start":{"date-parts":[[2020,11,26]],"date-time":"2020-11-26T00:00:00Z","timestamp":1606348800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg B Skull Base"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We report a case of craniocervical junction dural arteriovenous fistula (dAVF) presented with myelopathy and normal pressure hydrocephalus, and was treated with hybrid approach of embolization and surgical disconnection. A 68-year-old gentleman presented with 1 year history of unsteady gait and sphincter disturbance. Magnetic resonance imaging (MRI) showed abnormally enlarged and tortuous vessels over right cerebellomedullary cistern. Digital subtraction angiogram (DSA) showed Cognard's type-V dAVF at craniocervical junction. Catheter embolization was performed via external carotid artery and finally surgical disconnection was done with far lateral approach (Fig. 1). Postoperative DSA showed no more arteriovenous shunting (Fig. 2). Clinically the patient improved after a course of rehabilitation. Dural AVF at craniocervical junction is rare and its clinical presentation can be highly variable from subarachnoid hemorrhage to brainstem dysfunction. Identification of the exact fistula site is essential in surgical planning. Surgery is effective and safe to achieve complete obliteration and good clinical outcome.1\n          2\n          3\n          4\n          5\n          6\n        <\/jats:p><jats:p>The link to the video can be found at: https:\/\/youtu.be\/xI48stSlWpY.<\/jats:p>","DOI":"10.1055\/s-0040-1714402","type":"journal-article","created":{"date-parts":[[2020,11,27]],"date-time":"2020-11-27T00:02:18Z","timestamp":1606435338000},"page":"S45-S47","source":"Crossref","is-referenced-by-count":1,"special_numbering":"S","title":["Far Lateral Approach for Disconnection of Craniocervical Junction Dural Arteriovenous Fistula Presented with Myelopathy and Hydrocephalus"],"prefix":"10.1055","volume":"82","author":[{"given":"Siu Kei Samuel","family":"Lam","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tuen Mun Hospital, Hong Kong Special Administrative Region, Tuen Mun, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sai Lok","family":"Chu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tuen Mun Hospital, Hong Kong Special Administrative Region, Tuen Mun, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shing Chau","family":"Yuen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tuen Mun Hospital, Hong Kong Special Administrative Region, Tuen Mun, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kwong Yui","family":"Yam","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tuen Mun Hospital, Hong Kong Special Administrative Region, Tuen Mun, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,11,26]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"223","DOI":"10.4103\/fjs.fjs_98_17","article-title":"Craniocervical junction spinal dural arteriovenous fistula presenting with progressive myelopathy and sudden deterioration","volume":"50","author":"I C Lin","year":"2017","journal-title":"Formos J Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1016\/j.clineuro.2014.01.018","article-title":"Natural history, current concepts, classification, factors impacting endovascular therapy, and pathophysiology of cerebral and spinal dural arteriovenous fistulas","volume":"121","author":"L Hacein-Bey","year":"2014","journal-title":"Clin Neurol Neurosurg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"229","DOI":"10.2176\/nmc.51.229","article-title":"Treatment of dural arteriovenous fistula presenting as typical symptoms of hydrocephalus caused by venous congestion: case report","volume":"51","author":"Y Nakahara","year":"2011","journal-title":"Neurol Med Chir (Tokyo)"},{"issue":"12","key":"ref4","doi-asserted-by":"crossref","first-page":"1662","DOI":"10.1016\/j.jocn.2011.03.008","article-title":"A single-center, long-term study of spinal dural arteriovenous fistulas with multidisciplinary treatment","volume":"18","author":"F Ruiz-Juretschke","year":"2011","journal-title":"J Clin Neurosci"},{"issue":"11","key":"ref5","doi-asserted-by":"crossref","first-page":"1701","DOI":"10.1016\/j.jocn.2015.05.014","article-title":"Natural history and treatment of craniocervical junction dural arteriovenous fistulas","volume":"22","author":"J Y Wang","year":"2015","journal-title":"J Clin Neurosci"},{"issue":"06","key":"ref6","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1136\/neurintsurg-2015-011775","article-title":"Dural arteriovenous fistulas at the craniocervical junction: a systematic review","volume":"8","author":"J Zhao","year":"2016","journal-title":"J Neurointerv Surg"}],"container-title":["Journal of Neurological Surgery Part B: Skull Base"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1714402.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,8]],"date-time":"2021-03-08T11:41:00Z","timestamp":1615203660000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1714402"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,26]]},"references-count":6,"journal-issue":{"issue":"S 01","published-online":{"date-parts":[[2021,3,5]]},"published-print":{"date-parts":[[2021,2]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1714402","relation":{},"ISSN":["2193-6331","2193-634X"],"issn-type":[{"value":"2193-6331","type":"print"},{"value":"2193-634X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,26]]}}}