Abstract：
Arteriovenous fistula (AVF) occurring within the craniocervical junction (CCJ) is an uncommon vascular anomaly. A 56-year-old man presented with cervical pain and gait disturbances. Computed tomography revealed a hematoma in the epidural space at the cervical spinal level. Subsequent cerebral angiography revealed an epidural shunt at the CCJ, leading to a diagnosis of epidural AVF (EDAVF). Transvenous embolization, performed under general anesthesia, successfully resolved the shunt. Transarterial embolization of CCJ-EDAVFs carries a substantial risk of ischemic complications. Conversely, transvenous embolization poses a lower risk of ischemic complications and has potential as a beneficial treatment option for CCJ-EDAVFs. Herein, we present a unique case of CCJ-EDAVF that was successfully treated with transvenous embolization.
摘要：
在颅颈交界处（CCJ）内发生的动静脉瘘（AVF）是一种罕见的血管异常。一名56岁的男子出现颈椎疼痛和步态障碍。计算机断层扫描显示颈椎水平的硬膜外腔有血肿。随后的脑血管造影显示CCJ处有硬膜外分流，导致硬膜外AVF（EDAVF）的诊断。经静脉栓塞,在全身麻醉下进行，成功解决了分流。经动脉栓塞CCJ-EDAVFs具有发生缺血性并发症的巨大风险。相反，经静脉栓塞治疗缺血性并发症的风险较低,有可能成为CCJ-EDAVFs的有益治疗选择.在这里，我们介绍了一个独特的CCJ-EDAVF病例,该病例通过经静脉栓塞治疗成功.
