Surgical Treatment of a Sylvian-Middle Fossa Dural Arteriovenous Fistula Draining into the Basal Vein of Rosenthal with Frontotemporal Craniotomy

Tanaka, Toshihide; Kato, Naoki; Arai, Takao; Hasegawa, Yuzuru; Abe, Toshiaki

doi:10.1016/j.jstrokecerebrovasdis.2010.09.007

Cited by 13 publications

(13 citation statements)

References 17 publications

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“…Depending on the angioarchitecture of the dAVF, this direct shunt can predispose patients to intracerebral hemorrhage (ICH). [11][12][13] Classification systems such as those described by Cognard et al 14 and Borden et al 15 have sought to quantify this risk. dAVFs with antegrade venous outflow are low risk for ICH.…”

mentioning

confidence: 99%

Acute traumatic dural arteriovenous fistula of the superior sagittal sinus: illustrative case

Pryce

Chung

Zeineddine

et al. 2023

Journal of Neurosurgery: Case Lessons

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BACKGROUND Dural arteriovenous fistulas (dAVFs) are aberrant vascular communications between meningeal arteries and venous sinuses or cortical veins. dAVF pathogenesis is incompletely understood; however, formation likely occurs as a result of angioneogensis. OBSERVATIONS A 78-year-old man presented after trauma with basal and cortical subarachnoid hemorrhage (SAH). Computed tomography revealed a parietal bone fracture overlying the superior sagittal sinus (SSS). Catheter angiography performed within 24 hours of the injury demonstrated an SSS dAVF supplied by the middle meningeal artery, adjacent to the fracture. LESSONS The authors present the case of an acute traumatic dAVF adjacent to a calvarial fracture. In this case, the authors proprose that the underlying pathogenesis is suggestive of direct vessel injury rather than the pathway commonly associated with this pathology.

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mentioning

confidence: 99%

Acute traumatic dural arteriovenous fistula of the superior sagittal sinus: illustrative case

Pryce

Chung

Zeineddine

et al. 2023

Journal of Neurosurgery: Case Lessons

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“…2, 8) We could not detect secondary SMCV routes until SMCV was expanded and turned red after ligation of BATV. Although detection of the full outline of the fistula was difficult with the endovascular route, we could confirm obliteration of the fistula by monitoring the venous color and by means of Doppler ultrasound during the operation.…”

Section: Discussionmentioning

confidence: 90%

Surgical Treatment of a Dural Arteriovenous Fistula in the Sphenoid Wing with a Unique Drainage Pattern through the Basal Vein of Rosenthal

Watanabe¹,

Maruya²,

Nishimaki³

2014

NMC Case Report Journal

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A 69-year-old man consulted our department regarding further examination because cerebrovascular abnormalities were accidentally found during a medical checkup of the brain (brain dock). He did not have any history of head trauma or hypertension. Physical examination yielded completely normal results. Magnetic resonance imaging during the brain dock revealed anomalous venous ectasia of BVR (Fig. 1). Subsequent catheter angiography revealed a DAVF in the left sphenoid wing; the fistula was supplied by direct collateral from ethmoidal branches of the ophthalmic artery ( Fig. 2A) and MMA (Fig. 2B). Venous drainage from the fistula mainly consisted of a large collector vein located in the temporal tip (referred to as BATV), draining in an anterograde manner into the BVR and subsequently into the vein of Galen ( Fig. 2A, B). Some part of the venous drainage from BATV flowed into the deep middle cerebral vein (DMCV), refluxed into SMCV in the capillary phase, and finally flowed into the cavernous sinus (CS; Fig. 2C). Considering the angiography findings, the venous route may not have been accessible for transvenous embolization (TVE), and the risks of incomplete obliteration or damage to the central retinal artery that are associated with transarterial embolization (TAE) should not be ignored. This lesion may be easily accessible by a usual craniotomy procedure. We decided to proceed with open surgery rather than the endovascular approach. A left-sided frontotemporal craniotomy A 69-year-old man consulted our department regarding further examination because abnormal venous ectasia of the basal vein of Rosenthal (BVR) was accidentally found on magnetic resonance imaging. Angiography revealed a dural arteriovenous fistula (DAVF) in the left sphenoid wing; the fistula was supplied by the ophthalmic artery and the middle meningeal artery. Venous drainage from the fistula consisted of a large collector vein located in the temporal tip, which drained into the BVR. We selected open surgery because this lesion may be difficult to access and is associated with significant risks through an endovascular approach. After temporal clip ligation of the drainer, the superficial middle cerebral vein became the main drainage route directly in connection with the fistula. Therefore, both were ligated, after coagulation of feeding arterial networks on the dura around the sphenoid wing. The patient experienced no complications from the surgical procedure, and postoperative angiography demonstrated obliteration of the fistula. DAVF in the sphenoid wing with deep drainage is believed to carry a high risk of hemorrhage or venous infarction because of the presence of Galenic drainage, varix, and cortical venous reflux. Treatment is strongly recommended even if the symptoms are minimal. Open surgery appears to be safe and often the best therapeutic option.

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“…Currently, there are fewer than 20 case reports of a DAVF in the sphenoid bone lesser wing area. [1][2][3][4][5][6][7][8][9][10][11][12][13][14] The fistula is fed by branches of the ECA (middle and accessory meningeal arteries) and by the ICA (branches of the inferolateral trunk, recurrent meningeal branch of the ophthalmic artery). The location and anatomical relationship between the two venous systems (superficial middle cerebral vein and sphenoparietal sinus) determine the characteristics of venous drainage.…”

Section: Discussionmentioning

confidence: 99%

“…We were able to find 13 publications, reporting a total 18 cases of DAVF in the given location. [1][2][3][4][5][6][7][8][9][10][11][12][13][14] The analysis of published cases allowed us to divide these clinical observations into fistulas of the sphenoid bone lesser wing sinus and the superficial middle cerebral vein (Table 1) *Two case reports of AV-fistulas in the lesser sphenoid wing region with drainage exclusively into the basal vein can be considered equivalent to the AV-fistula of the superficial middle cerebral vein. For example, according to Watanabe et al (2015) an exclusion of the bridging vein, which was draining into the basal vein, in direct proximity to the confluence led to a change in the blood flow, redirecting the reflux into the superficial medial cerebral vein.…”

Section: Discussionmentioning

confidence: 99%

“…We were able to find 13 publications, reporting a total 18 cases of DAVF in the given location. 1–14 The analysis of published cases allowed us to divide these clinical observations into fistulas of the sphenoid bone lesser wing sinus and the superficial middle cerebral vein (Table 1), based on the pattern of venous drainage. In two cases, direct drainage to the basal vein was noted.…”

Section: Discussionmentioning

confidence: 99%

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Dural arteriovenous fistula in the sphenoid bone lesser wing region: Endovascular adjuvant techniques of treatment and literature review

et al. 2018

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This article describes the successful endovascular treatment of a dural arteriovenous fistula of a rare localization (the area of sphenoid bone lesser region). We examine one report of an unusually located dural arteriovenous fistula successfully treated with Onyx (ev3, Irvine, USA) using a combination of endovascular adjuvant techniques: pressure cooker and remodeling balloon protection of cerebral artery. The article includes previously published observations of such fistulas and discusses anatomic features and venous drainage of dural arteriovenous fistulas in the given location.

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Surgical Treatment of a Sylvian-Middle Fossa Dural Arteriovenous Fistula Draining into the Basal Vein of Rosenthal with Frontotemporal Craniotomy

Cited by 13 publications

References 17 publications

Acute traumatic dural arteriovenous fistula of the superior sagittal sinus: illustrative case

Acute traumatic dural arteriovenous fistula of the superior sagittal sinus: illustrative case

Surgical Treatment of a Dural Arteriovenous Fistula in the Sphenoid Wing with a Unique Drainage Pattern through the Basal Vein of Rosenthal

Dural arteriovenous fistula in the sphenoid bone lesser wing region: Endovascular adjuvant techniques of treatment and literature review

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