著者

Naoya KIDANI Yusuke INOUE Shohei NISHIGAKI Juntaro FUJITA Yuta SOTOME Yusuke TOMITA Kenichiro MURAOKA Nobuyuki HIROTSUNE Shigeki NISHINO

出版者

The Japan Neurosurgical Society

雑誌

NMC Case Report Journal (ISSN:21884226)

巻号頁・発行日

vol.10, pp.145-150, 2023-12-31 (Released:2023-05-17)

参考文献数

38

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An appropriate therapeutic option for pial arteriovenous fistula (PAVF) can vary according to the angioarchtecture of the lesion. We present a case of adult infratentorial PAVF treated by transarterial coil embolization. A 26-year-old man was referred to our institution for an asymptomatic intracranial vascular lesion. Cerebral angiograms revealed PAVF fed by three arteries in the right cerebellomedullary cistern. The feeding arteries were accurately identified by three-dimensional rotational angiography and were successfully embolized using coils while normal arterial flow was preserved. This case report suggests that stepwise transarterial coil embolization can cure PAVF under detailed evaluation of its angioarchitecture.