External carotid-transverse sinus fistula

Robinson, Julian L.; Sedzimir, C. B.

doi:10.3171/jns.1970.33.6.0718

Cited by 28 publications

(5 citation statements)

References 7 publications

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“…In the literature, reviews are few 17,3.11,22, and cases reports mainly describe individual therapeutic attempts in paediatric cases 6,7,8,10,12,21,23,24,26,27 or as part of an adult series 19,25 . In both populations much discussion has focussed on the congenital vs acquired character of the disease.…”

Section: Introductionmentioning

confidence: 98%

Anatomoclinical Aspects of Dural Arteriovenous Shunts in Children

et al. 1996

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We review 29 children (presenting between 1985–1996) with dural arteriovenous shunts. By analysing the anatomical features from axial and angiographic imaging and examining the clinical history and pathophysiological characteristics, we hypothesize that different diseases can be distinguished and divided into three groups: dural sinus malformation (DSM), infantile type of dural arteriovenous shunts (IDAVS) and adult type of dural arteriovenous shunts (ADAVS). It was helpful to classify these diseases when assessing the treatment options and long-term prognosis. Our group of 29 children comprised 19 DSM, 7 IDAVS, 3 ADAVS. A slight male preponderance was noted in the DSM group. The range of symptoms encountered included mild cardiac failure and coagulopathies, macro-crania, developmental delay, mental retardation, seizures and focal neurological deficits (in the neonates and early infancy age group) with or without haemorrhagic venous infarctions secondary to venous outlet restriction. We found all types of lesion in the neonatal age group, but in general the different types of lesion correspond to the paediatric subgroups with DSM occurring in the neonatal age group, IDAVS in infancy and ADAVS in children. DSMs are revealed in the first few months of live and the prognosis is good if the torcular is not involved. Two types can be seen: 1) DSM involving the posterior sinus with or without the confluens sinusum, with giant dural lakes and slow flow mural AV shunting. Spontaneous thrombosis may further restrict cerebral venous drainage and subsequently lead to intraparenchymatous haemorrhagic infarction. 2) DSM involving the jugular bulb with otherwise normal sinuses but associated with a high flow sigmoïd sinus AVF. The prognosis is excellent with embolisation treament. IDAVS are high flow and low pressure. The sinuses are large and patent with no lakes. Clinical onset is seen in the first few years of life and the shunts are initially well tolerated. Progressive symptoms (symptoms of raised ICP and venous ischaemia) develop at a later age and initially respond to partial embolisation. The long term prognosis is poor with neurological deterioration in early adulthood. ADAVS present in all age groups and almost all of them are located in the cavernous venous plexus. Post embolisation outcome is excellent.

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Section: Introductionmentioning

confidence: 98%

Anatomoclinical Aspects of Dural Arteriovenous Shunts in Children

et al. 1996

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“…8.3) and developmental aneurysms (Fig. Other authors have also reported an association between DAVMs and vascular abnormalities such as aneurysms and vascular malformations involving brain, skin and bone (Debrun 1972, Heishima 1977, Djindjian 1978, Robinson 1970 (Table 8.3). Among the 23 patients, 9 had a history of trauma, but the trauma involved the head in only four.…”

Section: Pathophysiologymentioning

confidence: 87%

Surgical Neuroangiography

Lasjaunias¹,

Berenstein²

1987

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“…The DAVF in our patient presented as an IDAVF and involved the dorsal epidural venous system 2 . Although only 25 IDAVF cases have been reported in the literature, no IDAVF at the anterior condylar confluence have been described to date 2-32 .…”

Section: Discussionmentioning

confidence: 99%

Neonatal Dural Arteriovenous Fistula at the Confluence Presenting with Paralysis of the Orbicularis Oris Muscle

Iizuka

Koda²,

Tsutsumi

et al. 2013

Neuroradiol J

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A male neonate presented a dural arteriovenous fistula (DAVF) at the confluence with paralysis of the orbicularis oris muscle. The interesting features in our case were the clinical symptoms (orbicularis oris muscle paralysis at birth), angioarchitecture (high-flow arteriovenous shunts at the confluence) and the size and hemodynamic flow (mid-sized venous pouch) of the fistula. Additionally, the embolization technique (i.e., occipital artery approach, closing shunts with pure glue) automatically resulted in the immediate and complete closure of accessory feeders without any additional treatment, and the midterm clinical outcome was good. We succeeded improving the symptoms of a neonate with a congenital high-flow DAVF by closing a fistula using a small amount of glue.

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External carotid-transverse sinus fistula

Abstract: ✓ A case of congenital fistula between the posterior auricular artery and the transverse sinus is described. A comment is added on the possible embryological mechanism producing these lesions, and the usual symptomatology and treatment are discussed.

Cited by 28 publications

References 7 publications

Anatomoclinical Aspects of Dural Arteriovenous Shunts in Children

Anatomoclinical Aspects of Dural Arteriovenous Shunts in Children

Surgical Neuroangiography

Neonatal Dural Arteriovenous Fistula at the Confluence Presenting with Paralysis of the Orbicularis Oris Muscle

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