Surgical transvenous embolization of a cortically draining carotid cavernous fistula via a vein of the sylvian fissure

Percutaneous transvenous embolization is one of the most effective treatments of intracranial dural arteriovenous fistulas (AVFs) involving the dural sinuses. We present a unique case of surgical transvenous embolization in a 48-year-old man with a dural AVF of the cavernous sinus who presented with...

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Bibliographic Details
Published in:American journal of neuroradiology : AJNR 1998-08, Vol.19 (7), p.1329-1332
Main Authors: Kuwayama, N, Endo, S, Kitabayashi, M, Nishijima, M, Takaku, A
Format: Article
Language:English
Subjects:
Arteriovenous Fistula - therapy
Biological and medical sciences
Carotid Artery, External - abnormalities
Carotid Artery, Internal - abnormalities
Case Reports
Cavernous Sinus - abnormalities
Cerebral Angiography
Cerebral Hemorrhage - etiology
Cerebral Veins - abnormalities
Diseases of the nervous system
Dura Mater - blood supply
Embolization, Therapeutic - methods
Follow-Up Studies
Humans
Intracranial Arteriovenous Malformations - therapy
Male
Medical sciences
Middle Aged
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Temporal Lobe - blood supply
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Summary:Percutaneous transvenous embolization is one of the most effective treatments of intracranial dural arteriovenous fistulas (AVFs) involving the dural sinuses. We present a unique case of surgical transvenous embolization in a 48-year-old man with a dural AVF of the cavernous sinus who presented with intracerebral hematoma. The dural AVF drained only into the vein of the sylvian fissure on angiography. Transvenous embolization via the vein of the sylvian fissure during craniotomy obliterated the AVF completely.
ISSN:0195-6108
1936-959X