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Remission of neurovascular conflicts in the cerebellopontine angle in interventional neuroradiology

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机构: [1]Capital Med Univ, Dept Intervent Neuroradiol, Beijing Neurosurg Inst, Beijing 100050, Peoples R China; [2]Capital Med Univ, Beijing Tiantan Hosp, Beijing 100050, Peoples R China; [3]Capital Med Univ, Dept Intervent Neuroradiol, Beijing Neurosurg Inst, 6 Tiantan Xili, Beijing 100050, Peoples R China
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关键词: Aneurysm Arteriovenous Malformation Cranial nerve Posterior fossa Fistula

摘要:
Background and purpose To investigate the efficacy of endovascular treatment (EVT) for neurovascular conflicts (NVCs) in the cerebellopontine angle (CPA) caused by intracranial aneurysms (IAs) and intracranial arteriovenous malformations (AVMs), including trigeminal neuralgia, hemifacial spasm, and glossopharyngeal neuralgia. Materials and methods From January 2010 to January 2014, 14 consecutive patients presenting with three NVCs caused by IAs or intracranial AVMs were admitted to our department. The clinical outcomes of these NVCs after EVT were retrospectively analyzed. Results For four patients with IAs, angiographic follow-up confirmed total occlusion of the lesion in all, and the clinical outcomes of NVC were as follows: gradual relief in two (50%), transient partial relief but recurrence in one (25%), and no palliative effect in one (25%). For the 10 patients with intracranial AVMs, one (10%) experienced transient relief of NVC after angiogram examination (no EVT was performed). Of the other nine patients who received EVT, angiographic follow-up was obtained in seven (70%), demonstrating total obliteration of the lesion in three (30%), subtotal obliteration in two (20%), and partial obliteration in two (20%). Clinical outcomes included immediate relief of NVCs after single EVT in two cases (20%), gradual relief after single EVT in five (50%, one of them experienced transient aggravation), and complete relief after two sessions of EVT in two (20%). Complications of transient cranial nerve paresis related to EVT occurred in two cases (20%) with intracranial AVMs. In all, complete lasting relief of the NVCs was obtained finally in 11 cases (78.6%). Conclusions EVT is a feasible and less invasive approach for relief of NVCs in the CPA caused by IA or intracranial AVM and could be considered as a therapeutic option in these situations.

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出版当年[2015]版:
大类 | 3 区 医学
小类 | 3 区 外科 4 区 神经成像
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 神经成像 1 区 外科
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出版当年[2014]版:
Q1 SURGERY Q2 NEUROIMAGING
最新[2023]版:
Q1 NEUROIMAGING Q1 SURGERY

影响因子: 最新[2023版] 最新五年平均 出版当年[2014版] 出版当年五年平均 出版前一年[2013版] 出版后一年[2015版]

第一作者:
第一作者机构: [1]Capital Med Univ, Dept Intervent Neuroradiol, Beijing Neurosurg Inst, Beijing 100050, Peoples R China; [2]Capital Med Univ, Beijing Tiantan Hosp, Beijing 100050, Peoples R China; [3]Capital Med Univ, Dept Intervent Neuroradiol, Beijing Neurosurg Inst, 6 Tiantan Xili, Beijing 100050, Peoples R China
通讯作者:
通讯机构: [1]Capital Med Univ, Dept Intervent Neuroradiol, Beijing Neurosurg Inst, Beijing 100050, Peoples R China; [2]Capital Med Univ, Beijing Tiantan Hosp, Beijing 100050, Peoples R China; [3]Capital Med Univ, Dept Intervent Neuroradiol, Beijing Neurosurg Inst, 6 Tiantan Xili, Beijing 100050, Peoples R China
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