Type D Dural Carotid—Cavernous Fistula

Kanehiro, Hiromichi; Mizushima, Akira; Matsumoto, Shunichi; Uchino, Akira; Uehara, Shuichiro; Miyoshi, Makoto; Mihara, Futoshi; Ohmagari, Junichi; Ohnishi, Yoshitaka; Masuda, Kouji

doi:10.1177/02841851960371p162

Cited by 8 publications

(2 citation statements)

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“…Dilated glue as the embolic material may be accompanied by risk of infarction of normal brain tissue. [4] Another liquid agent, Onyx appears to offer many advantages over the other available embolic agents for the endovascular management of DAVF, however long-term follow-up is limited. [2] PVA, although often not as permanent as glue, is relatively easy to handle.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, we selected PVA particles as embolic material. TAE with PVA reduces the shunt flow and the symptoms can be improved immediately before radiotherapy,[4] and then complete fistula obliteration can be safely achieved with radiotherapy. Given the advanced age and general condition of the patient in our case, treatment with TAE followed by radiotherapy was considered one of the best options.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Pontine venous congestion due to dural arteriovenous fistula of the cavernous sinus: Case report and review of the literature

Miyagishima

Hara²,

Inoue³

et al. 2012

Surg Neurol Int

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Background:We report herein a case of cavernous sinus (CS)-dural arteriovenous fistula (DAVF) with brainstem venous congestion that was successfully treated by transarterial embolization, followed by radiotherapy.Case Description:An 80-year-old woman presented with right eye chemosis and left hemiparesis. T2-weighted magnetic resonance imaging showed hyperintensity of the pons. Diagnostic cerebral angiography demonstrated CS-DAVF draining into the right superior orbital vein and petrosal vein, and fed by bilateral internal and external carotid arteries. Transarterial embolization was performed and followed by radiotherapy, resulting in resolution of the pontine lesion and neurological and ophthalmological symptoms within 5 months.Conclusions:We also review the literature regarding therapy for CS-DAVF with brainstem venous congestion. Once CS-DAVF with venous congestion of the brainstem has been definitively diagnosed, immediate therapy is warranted. Treatment with transarterial embolization followed by radiation may be an important option for elderly patients when transvenous or transarterial embolization is not an option.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%