지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 204 - 207 (4page)
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초록· 키워드
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We are reporting an unusual case of dural arteriovenous fistula (AVF) of the superior sagittal sinus (SSS) after tamoxifen treatment for breast cancer. A 30-year-old female arrived at the emergency room with a sudden headache and left sided weakness and sensory loss. In her past medical history, she was diagnosed with breast cancer 1 year prior, and subsequently underwent a breast conserving mastectomy with whole breast radiation and adjuvant chemotherapy with tamoxifen. At the time of admission, computed tomography showed a small acute intracerebral hemorrhage at the right parietal cortex, and magnetic resonance imaging showed that a dural AVF at the SSS with a prominent and tortuous venous enhancement along the centrum semiovale was present. Cerebral angiography showed that the dural AVF at the mid-portion of the SSS with meningeal arterial feeding vessels entering the wall of the SSS, then draining through the dilated cortical veins. Our patient had no signs of active malignancy or any abnormalities in her coagulation profile, so it can be concluded that the tamoxifen was the likely cause of the SSS thrombosis and dural AVF. The dural AVF was treated by an endovascular coil embolization for the arterialized segment of the SSS. The patient dramatically recovered favorably from left side motor and sensory deficit. The best clinical approach is to screen potential patients of tamoxifen hormonal therapy and educate them on the sign and symptoms of life threatening thromboembolic events while taking tamoxifen.
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등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Akdal G. / 2001 / A case with cerebral thrombosis receiving tamoxifen treatment / Eur J Neurol 8:723~724
Awad IA. / 1990 / Intracranial dural arteriovenous malformations : factors predisposing to an aggressive neurological course / J Neurosurg 72:839~850
Bushnell C / 2005 / The cerebrovascular risks associated with tamoxifen use / Expert Opin Drug Saf 4:501~507
Cognard C. / 1998 / Dural arteriovenous fistulas as a cause of intracranial hypertension due to impairment of cranial venous outflow / J Neurol Neurosurg Psychiatry 65:308~316
Cognard C. / 1995 / Cerebral dural arteriovenous fistulas : clinical and angiographic correlation with a revised classification of venous drainage / Radiology 194:671~680
Awad IA. / 1990 / Intracranial dural arteriovenous malformations : factors predisposing to an aggressive neurological course / J Neurosurg 72:839~850
Bushnell C / 2005 / The cerebrovascular risks associated with tamoxifen use / Expert Opin Drug Saf 4:501~507
Cognard C. / 1998 / Dural arteriovenous fistulas as a cause of intracranial hypertension due to impairment of cranial venous outflow / J Neurol Neurosurg Psychiatry 65:308~316
Cognard C. / 1995 / Cerebral dural arteriovenous fistulas : clinical and angiographic correlation with a revised classification of venous drainage / Radiology 194:671~680
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Transcranial Direct Middle Meningeal Artery Puncture for the Onyx Embolization of Dural Arteriovenous Fistula Involving the Superior Sagittal Sinus
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