Sagittal sinus dural arteriovenous fistula manifesting as unilateral vocal fold paresis.
Arteriovenous fistula
Cranial neuropathies
Dysphonia
Jugular foramen
Therapeutic embolization
Vagus nerve
Journal
Clinical neurology and neurosurgery
ISSN: 1872-6968
Titre abrégé: Clin Neurol Neurosurg
Pays: Netherlands
ID NLM: 7502039
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
received:
08
07
2021
revised:
26
07
2021
accepted:
29
07
2021
pubmed:
9
8
2021
medline:
28
1
2022
entrez:
8
8
2021
Statut:
ppublish
Résumé
We present a case of a sagittal sinus dural arteriovenous fistula manifesting as dysphonia secondary to vocal fold paresis. The patient presented with a 6-week history of hoarseness. Imaging studies demonstrated findings suggestive of a dural arteriovenous fistula affecting the superior sagittal sinus. Direct laryngoscopy demonstrated paresis of the right vocal fold. We hypothesized that pressure on the vagus nerve from a dilated and arterialized internal jugular vein within the jugular foramen was responsible for the cranial neuropathy. The patient's dysphonia resolved with embolization of the fistula, and repeat laryngoscopy showed resolution of the vocal fold paresis.
Identifiants
pubmed: 34365240
pii: S0303-8467(21)00385-1
doi: 10.1016/j.clineuro.2021.106856
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
106856Informations de copyright
Copyright © 2021 Elsevier B.V. All rights reserved.