Dural Arteriovenous Fistula Involving the Superior Sagittal Sinus Following Sinus Thrombosis. Case Report.

Abstract

A 57-year-old woman presented with a dural arteriovenous fistula (AVF) involving the superior sagittal sinus (SSS) based upon serial radiological examinations. Her chief complaints were headache and vomiting. Cerebral angiography and magnetic resonance (MR) venography revealed the sinus thrombosis involving the SSS, the bilateral transverse sinuses (TSs), and the right sigmoid sinus. Her symptoms disappeared after anticoagulant therapy. Follow-up MR venography revealed almost complete recanalization of the occluded sinuses, followed by restenosis of the SSS and the left TS and occlusion of the right TS without symptoms. She developed transient right hemiparesis 13 months after the initial onset. Cerebral angiography revealed a dural AVF involving the SSS with cortical reflux into the left frontoparietal region. The dural AVF was occluded by transarterial and transvenous embolization. Her symptom disappeared during the follow-up period.

Cavernous Sinus Dural Arteriovenous Fistula Associated With the Development of Sphenoidal Ridge Meningioma -Case Report-

“…Obstruction of the venous outflow is thought to result in increased venous pressure and reduced cerebral perfusion to satisfy the needs of the tissue. 15) Simultaneous occurrence of dural AVF and cerebral sinus thrombosis is not uncommon, 2,12) but tumor causing occlusion of the major sinuses is rarely associated with dural AVF. Only six cases of concomitant dural AVF and tumor have been described (Table 1).…”

“…10) The pathogenesis of dural AVF remains controversial, 5,17) but may involve abnormal embryonic development of the vasa vasorum of the sinus or congenital anomalies of the dural vessels. 11) On the other hand, acquired dural AVFs are widely reported to grow secondary to sinus thrombosis, 2,12) trauma (including iatrogenic), 18,19) tumor resection, 9,13,20) infection, 3) and other causes. Tumor invasion of the sinus is often associated with sinus thrombosis and dural AVF.…”

Onyx removal after embolization of a superior sagittal sinus dural arteriovenous fistula involving scalp artery

“…To the best of our knowledge, 27 cases with sufficient hemodynamic description for definitive diagnosis of SSS-DAVF involving scalp arteries have been reported [ Table 1 ]. [ 1 2 3 5 7 8 9 10 12 14 15 16 17 20 22 23 24 26 27 28 29 30 31 ] Most cases were middle-aged males. Drainage to CV was found in 25 cases (25/27, 92.6%), indicating that SSS-DAVF is the most aggressive form of DAVF.…”

Dural arteriovenous fistula disguised as cerebral venous sinus thrombosis

“…The relationship between CVST and DAVF is complicated (Nishio et al, 2002;Shimizu et al, 2003;Safavi-Abbasi et al, 2008;Yeh et al, 2010). In a study by Tsai et al (2004), 27 of 69 DAVF patients had CVST and most thromboses were located in the downstream area or around the DAVF.…”