METHODS: We present a case with ruptured greater sphenoid wing dural AVF (Cognard type IV), in which endovascular embolization using liquid material was performed, followed by open surgery to concurrently disconnect the fistula and evacuate the hematoma.
CONCLUSIONS: The sphenoid wing dural AVFs may be effectively cured by open surgery for fistula disconnection in conjunction with endovascular embolization.
方法:我们介绍一例蝶骨大翼硬脑膜AVF破裂(IV型Cognard),其中使用液体材料进行血管内栓塞,然后进行开放手术,同时断开瘘管并清除血肿。
结论:蝶骨翼硬脑膜AVF可通过开放手术切除瘘管并血管内栓塞治疗。