A case of cavernous sinus dural arteriovenous fistula presenting with intracranial hemorrhage

Toshinari Meguro, Tatsuya Sasaki, Jun Haruma, Tomoyuki Tanabe, Kenichiro Muraoka, Kinya Terada, Nobuyuki Hirotsune, Shigeki Nishino

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Intracranial cavernous sinus dural arteriovenous fistula (CS-dAVF) rarely causes intracranial hemorrhage. We report a case of CS-dAVF presenting with intracranial hemorrhage. A 62-year-old man presented tonic clonic convulsion with consciousness disturbance and was transferred to our hospital. CT scan revealed subarachnoid hemorrhage and right frontal subcortical hemorrhage. Angiography revealed right CS-dAVF which drained only into the vein of the right sylvian fissure. Transvenous embolization was performed using detachable coils. After embolization, CS-dAVF had completely disappeared and the patient was discharged without any symptom. We summarized the fourteen reported cases, including ours, of CS-dAVF with intracranial hemorrhage. All of them had retrograde drainage through cerebral veins.

Original languageEnglish
Pages (from-to)687-692
Number of pages6
JournalNeurological Surgery
Volume39
Issue number7
Publication statusPublished - Jul 10 2011
Externally publishedYes

Keywords

  • Cavernous sinus dural arteriovenous fistula
  • Intracranial hemorrhage
  • Retrograde leptomeningeal venous drainage
  • transvenous embolization

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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