Atransverse-sigmoid dural arteriovenous fistula

  • T.I. Kobza Clinical Regional Hospital in Lviv
  • R.I. Trutiak The Danylo Halytsky National Medical University in Lviv
  • V.F. Petrov Clinical Regional Hospital in Lviv
Keywords: dural arteriovenous fistula, selective MRI angiography, external carotid artery

Abstract

Aim. To improve the diagnostics and treatment of dural arteriovenous fistulae.

Material and Methods. The results of investigation and treatment of a dural arteriovenous fistula in a 65-year-old woman are described.

Results and Discussions. A 65-year-old woman was admitted with complaints of a continuous ear murmur, dizziness, and headaches. The complaints lasted for one year. From her medical history it was known that she suffered from purulent otitis six years before. A systole-diastolic blood shunt was revealed at the level of her external carotid artery at the Doppler investigation. The MRI detected a recanalized sigmoid dural sinus and a fistula from the occipital artery to the transverse sinus. The fistula was eliminated by ligation of the external carotid artery and its branches. 

Conclusions. Symptomatic cranial dural arteriovenous fistula can be successfully eliminated by ligation of the feeding arteries in anatomically favorable cases.

References

Moroz VV, Skorohoda II, Tsimejko OA. The perspectives and advantages of endovascular interventions in cerebrovascular disorders. Ukrains'kiy nevrologichnyj zhyrnal 2013; 3: 139.

Al-Shahi R, Bhattacharya JJ, Currie DG, Papanastassiou V, Ritchie V, Roberts RC, Sellar RJ, Warlow CP. Prospective, population-based detection of intracranial vascular malformations in adults: the Scottish Intracranial Vascular Malformation Study. Stroke 2003, 34, 1163-1169. https://doi.org/10.1161/01.STR.0000069018.90456.C9

Arnautovic KI, Krisht AF. Transverse-sigmoid sinus dural arteriovenous malformations. Contemp Neurosurgery 1999, 21: 2-5. https://doi.org/10.1097/00029679-199907020-00001

Chen KW, Su IC, Lee JE, Liu HM. Treatment of arteriovenous malformation with high flow fistula and bilateral transverse-sigmoid sinuses stenosis resulting diffuse cortical vein engorgement and symptoms resembling carotid-cavernous fistula. Asian J Neurosurg 2015, 10, 310-312. https://doi.org/10.4103/1793-5482.162715

Eftekhar B, Morgan MK. Surgical management of dural arteriovenous fistulas of the transverse-sigmoid sinus in 42 patients. J Clin Neurosci 2013, 20, 532-535. https://doi.org/10.1016/j.jocn.2012.05.035

Georgiadis AL, Lanzino G, Janjua N, Kirmani JF, Qureshi AI. A case of dural arteriovenous fistula with retrograde intracranial venous flow. J Vasc Interv Neurol 2008, 1, 9-13.

Gross BA, Du R. The natural history of cerebral dural arteriovenous fistulae. Neurosurgery 2012, 71, 594-602. https://doi.org/10.1227/NEU.0b013e31825eabdb

Kim MS, Han DH, Kwon O-K, Oh C-W, Han MH. Clinical characteristics of dural arteriovenous fistula. J Clin Neurosci 2002, 9, 147-155. https://doi.org/10.1054/jocn.2001.1029

Orabi AA, Ramsden R. Spontaneous resolution, after superselective angiography, of pulsatile tinnitus resulting from dural arteriovenous fistula. Int Tinnitus J 2004, 10, 51-53.

Pandey P, Steinberg GK, Westbroek EM, Dodd R, Do HM, Mark MP. Intraoperative angiography for cranial dural arteriovenous fistula. Am J Neuroradiol 2011, 32, 1091-1095. https://doi.org/10.3174/ajnr.A2443

Rumboldt Z. Imaging the neck in children. In: Pediatric Neuroradiology. Springer Berlin Heidelberg 2015, 1-72. https://doi.org/10.1007/978-3-662-46258-4_65-1

Signorelli F, Della Pepa GM, Sabatino G, Marchese E, Maira G, Puca A, Albanese A. Diagnosis and management of dural arteriovenous fistulas: a 10 years single-center experience. Clin Neurol Neurosurg 2015, 128, 123-129. https://doi.org/10.1016/j.clineuro.2014.11.011

Published
2018-02-22
How to Cite
Kobza, T., Trutiak, R., & Petrov, V. (2018). Atransverse-sigmoid dural arteriovenous fistula. Acta Medica Leopoliensia, 24(1), 77-80. https://doi.org/10.25040/aml2018.01.077