{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T20:39:47Z","timestamp":1771360787993,"version":"3.50.1"},"reference-count":10,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nDural arteriovenous fistulas (dAVFs) occurring near the hypoglossal canal are rare. Detailed evaluation of vascular structures can identify shunt pouches at the jugular tubercle venous complex (JTVC) in the bone near the hypoglossal canal. Although the JTVC has several venous connections, including the hypoglossal canal, there have been no reports of transvenous embolization (TVE) of a dAVF at the JTVC using an approach route other than the hypoglossal canal. This report describes the first case of complete occlusion with targeted TVE using an alternative approach route in a 70-year-old woman presenting with tinnitus diagnosed with dAVF at the JTVC.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nThe patient had no history of head trauma or other preexisting conditions. Magnetic resonance imaging (MRI) showed no abnormal findings in the brain parenchyma. Magnetic resonance angiography (MRA) revealed a dAVF near the ACC. The shunt pouch was located in the JTVC, near the left hypoglossal canal, with feeders from the bilateral ascending pharyngeal arteries and occipital arteries, left meningohypophyseal trunk, and odontoid arch of the left vertebral artery. TVE was performed near the shunt pouch. Localized packing of the shunt point was achieved. The patient\u2019s tinnitus improved. Postoperative MRI showed disappearance of the shunt without any complications. No recurrence was observed on MRA 6 months after treatment.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nOur results suggest targeted TVE is an effective treatment for dAVFs at the JTVC.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_1087_2022","type":"journal-article","created":{"date-parts":[[2023,2,3]],"date-time":"2023-02-03T06:30:19Z","timestamp":1675405819000},"page":"44","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Targeted transvenous embolization of a dural arteriovenous fistula at the jugular tubercle venous complex"],"prefix":"10.25259","volume":"14","author":[{"given":"Taishi","family":"Tsutsui","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Kanazawa University, Kanazawa, Japan,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kouichi","family":"Misaki","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kanazawa University, Kanazawa, Japan,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akifumi","family":"Yoshikawa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kanazawa Medical University, Uchinada, Japan,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenshu","family":"Nogami","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kanazawa University, Kanazawa, Japan,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iku","family":"Nambu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kanazawa University, Kanazawa, Japan,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoya","family":"Kamide","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kanazawa University, Kanazawa, Japan,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoki","family":"Muramatsu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kanazawa Medical Center, Kanazawa, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitsutoshi","family":"Nakada","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kanazawa University, Kanazawa, Japan,"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2023,2,3]]},"reference":[{"key":"10.25259\/SNI_1087_2022\/ref-1","first-page":"2016","article-title":"Three cases of dural arteriovenous fistula of the anterior condylar vein within the hypoglossal canal","volume":"20","author":"Ernst","year":"1999","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.25259\/SNI_1087_2022\/ref-2","doi-asserted-by":"crossref","first-page":"368","DOI":"10.15274\/INR-2014-10028","article-title":"Endovascular treatment and computed imaging follow-up of 14 anterior condylar dural arteriovenous fistulas","volume":"20","author":"Hsu","year":"2014","journal-title":"Interv Neuroradiol"},{"key":"10.25259\/SNI_1087_2022\/ref-3","doi-asserted-by":"crossref","first-page":"630","DOI":"10.3171\/jns.2001.94.4.0630","article-title":"Ocular symptoms associated with a dural arteriovenous fistula involving the hypoglossal canal: Selective transvenous coil embolization. Case report","volume":"94","author":"Kiyosue","year":"2001","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_1087_2022\/ref-4","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1007\/s00234-008-0393-7","article-title":"Characteristics, diagnosis and treatment of hypoglossal canal dural arteriovenous fistula: Report of nine cases","volume":"50","author":"Manabe","year":"2008","journal-title":"Neuroradiology"},{"key":"10.25259\/SNI_1087_2022\/ref-5","doi-asserted-by":"crossref","first-page":"753.e1","DOI":"10.1016\/j.wneu.2016.10.055","article-title":"Unique venous drainage of a sphenoid wing dural arteriovenous fistula with ocular symptoms","volume":"97","author":"Misaki","year":"2017","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_1087_2022\/ref-6","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1007\/s00234-018-1990-8","article-title":"Intraosseous venous structures adjacent to the jugular tubercle associated with an anterior condylar dural arteriovenous fistula","volume":"60","author":"Mizutani","year":"2018","journal-title":"Neuroradiology"},{"key":"10.25259\/SNI_1087_2022\/ref-7","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.wneu.2020.04.165","article-title":"Cavernous sinus dural arteriovenous fistula with an enhanced lesion in the brainstem mimicking a malignant tumor","volume":"140","author":"Nambu","year":"2020","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_1087_2022\/ref-8","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1177\/159101990701300108","article-title":"Selective transvenous embolization of dural arteriovenous fistulas involving the hypoglossal canal","volume":"13","author":"Okahara","year":"2007","journal-title":"Interv Neuroradiol"},{"key":"10.25259\/SNI_1087_2022\/ref-9","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1227\/01.neu.0000316007.34259.26","article-title":"Transarterial embolization of clival dural arteriovenous fistulae using liquid embolic agents","volume":"62","author":"Shi","year":"2008","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_1087_2022\/ref-10","first-page":"1955","article-title":"Endovascular treatment for dural arteriovenous fistula of the anterior condylar vein with unusual venous drainage: Report of two cases","volume":"26","author":"Tanoue","year":"2005","journal-title":"AJNR Am J Neuroradiol"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/targeted-transvenous-embolization-of-a-dural-arteriovenous-fistula-at-the-jugular-tubercle-venous-complex\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/targeted-transvenous-embolization-of-a-dural-arteriovenous-fistula-at-the-jugular-tubercle-venous-complex\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,3]],"date-time":"2023-02-03T06:30:24Z","timestamp":1675405824000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/targeted-transvenous-embolization-of-a-dural-arteriovenous-fistula-at-the-jugular-tubercle-venous-complex\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,3]]},"references-count":10,"alternative-id":["10.25259\/SNI_1087_2022"],"URL":"https:\/\/doi.org\/10.25259\/sni_1087_2022","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,3]]},"article-number":"44"}}