Abstract
Cavernous sinus (CS) dural arteriovenous fistula (DAVF) rarely causes intracranial hemorrhage. The authors describe a case of CS DAVF presenting with intracranial hemorrhage, focusing on the findings in digital subtraction angiography (DSA) performed before and after the onset. An 80-year-old woman, diagnosed as Borden type 3 CS DAVF on DSA 2 years before, presented with subarachnoid hemorrhage and right temporal subcortical hemorrhage. DSA findings after the onset showed that the right superficial middle cerebral vein, the sole drainage of the DAVF, had various changes including stenosis on the proximal portion, venous pouch formation, and occlusion of the distal portion compared with those 2 years before the onset. The occlusion was observed near the point where drainage of DAVF joined normal brain venous drainage, suggesting thatthe competition between the drainages caused impaired venous drainage, stagnation, and subsequent thrombotic occlusion. The CS DAVF was treated with evacuation of the intracerebral hematoma and surgical interruption of the right superficial middle cerebral vein at the dural origin from the CS. This report showed the development of thrombotic occlusion of a distal draining cortical vein as one of risk factors for CS DAVFs to cause intracranial hemorrhage on repeated DSAs.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.