Multiple dural arteriovenous fistulas developing after total removal of parasagittal meningioma: a case successfully treated with transvenous embolization

Sakuma, Ikuo; Takahashi, Satoshi; Ishiyama, Koich; Tomura, Noriaki; Watarai, Jiro; Yanagisawa, Toshiharu; Mizoi, Kazuo

doi:10.1016/s1477-6804(03)00032-3

Cited by 7 publications

(8 citation statements)

References 13 publications

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“…4 Under normal venous draining conditions, DVs are usually invisible on DSA studies. In pathological states such as sinus thrombosis, 6 trauma, 7 and meningiomas, 10 however, DVs can be dilated by opening diploic channels.…”

Section: Discussionmentioning

confidence: 99%

A case of dural arteriovenous fistula draining to the diploic vein presenting with intracerebral hemorrhage

Yako

Masuo

Kubo³

et al. 2016

JNS

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The authors report an unusual case of a dural arteriovenous fistula (dAVF) draining only to the diploic vein and causing intracerebral hemorrhage. A 62-year-old woman presented with disturbance of consciousness and left hemiparesis. Brain CT scanning on admission showed a right frontal subcortical hemorrhage. Digital subtraction angiography revealed an arteriovenous shunt located in the region around the pterion, which connected the frontal branch of the right middle meningeal artery with the anterior temporal diploic vein and drained into cortical veins in a retrograde manner through the falcine vein. The dAVF was successfully obliterated by percutaneous transarterial embolization with N-butyl-2-cyanoacrylate. The mechanism of retrograde cortical venous reflux causing intracerebral hemorrhage is discussed.

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Section: Discussionmentioning

confidence: 99%

A case of dural arteriovenous fistula draining to the diploic vein presenting with intracerebral hemorrhage

Yako

Masuo

Kubo³

et al. 2016

JNS

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“…Dural AVF is known to occur in the vicinity of the SCS, and transvenous embolization using microcoils is an efficient treatment for this condition [5][6][7][8]. As this approach requires superselective embolization of the fistulous points, the microcatheter must be precisely navigated into the target venous structure.…”

Section: Discussionmentioning

confidence: 99%

“…Navigation of a catheter from the IJV into the SCS is therefore possible via these three veins. We previously reported a case of dural AVF of the SCS that was treated using transvenous microcoil embolization [5]. In that procedure, the guiding catheter was positioned in the ACV via the IJV after femoral vein puncture, while the microcatheter was navigated into the SCS via the LCV.…”

Section: Discussionmentioning

confidence: 99%

“…The SCS and associated circumferential venous structures are clinically important, not only for cerebral venous drainage, but also in pathological conditions such as dural arteriovenous fistula (AVF), tumors, and tumor-mimicking conditions ( Fig. 1a, b) [4][5][6][7][8][9][10][11][12]. However, as venous structures around the SCS are complex and exhibit numerous variations [4,13], recognizing the anatomy of this area is not easy.…”

Section: Introductionmentioning

confidence: 99%

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Craniocervical junction venous anatomy around the suboccipital cavernous sinus: evaluation by MR imaging

et al. 2005

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The present study evaluated the venous anatomy of the craniocervical junction, focusing on the suboccipital cavernous sinus (SCS), a vertebral venous plexus surrounding the horizontal portion of the vertebral artery at the skull base. MR imaging was reviewed to clarify the venous anatomy of the SCS in 33 patients. Multiplanar reconstruction MR images were obtained using contrast-enhanced three-dimensional fast spoiled gradient-recalled acquisition in the steady state (3-D fast SPGR) with fat suppression. Connections with the SCS were evaluated for the following venous structures: anterior condylar vein (ACV); posterior condylar vein (PCV); lateral condylar vein (LCV); vertebral artery venous plexus (VAVP); and anterior internal vertebral venous plexus (AVVP). The SCS connected with the ACV superomedially, with the VAVP inferolaterally, and with the AVVP medially. The LCV connected with the external orifice of the ACV and superoanterior aspect of the SCS. The PCV connected with the posteromedial aspect of the jugular bulb and superoposterior aspect of the SCS. The findings of craniocervical junction venography performed in eight patients corresponded with those on MR imaging, other than with regard to the PCV. Contrast-enhanced 3-D fast SPGR allows visualization of the detailed anatomy of these venous structures, and this technique facilitates interventions and description of pathologies occurring in this area.

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“…45 Prominent diploic channels may also be associated with meningiomas, sinus thrombosis, trauma, and dural arteriovenous fistulas, and in these cases the diploic system may offer treatment access. 5,26,28,29,55 Sakuma et al 57 reported a case of a large right parasagittal meningioma with important collateral flow running from the SSS into the jugular vein through an enlarged posterior diploic venous system. Three months after removal of the tumor, the patient developed pulsatile tinnitus, and a dural arteriovenous fistula in the posterior fossa was demonstrated involving the middle meningeal and occipital arteries, with venous drainage involving a dilated posterior diploic system.…”

Section: Anatomical and Pathological Relationships Of The Dvsmentioning

confidence: 99%

The diploic venous system: surgical anatomy and neurosurgical implications

García-González

Cavalcanti

Agrawal

et al. 2009

FOC

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Object There are few systematic investigations of the dissected surgical anatomy of the diploic venous system (DVS) in the neuroanatomical literature. The authors describe the DVS relative to different common neurosurgical approaches. Knowledge of this system can help avoid potential sources of unacceptable bleeding and may impact healing of the cranium. Methods Using a high-speed drill with a 2-mm bit, the authors removed the outer layer of the compact bone in the skull to expose the DVS in 12 formalin-fixed cadaver heads. Pterional, supraorbital, and modified orbitozygomatic craniotomies were performed to delineate the relationship of the DVS. Results The draining point of the frontal diploic vein (FDV) was located near the supraorbital notch. The draining point of the anterior temporal diploic vein (ATDV) was located in all pterional areas; the draining point of the posterior temporal diploic vein (PTDV) was located in all asterional areas. The PTDV was the dominant diploic vessel in all sides. The FDV and ATDV could be damaged during supraorbital, modified orbitozygomatic, and pterional craniotomies. The anterior DVS connected with the sphenoparietal and superior sagittal sinus (SSS). The posterior DVS connected with the transverse and sigmoid sinuses and was the dominant diploic vessel in all 24 sides. Of all the major diploic vessels, the location and pattern of distribution of the FDV were the most constant. The parietal bone contained the most diploic vessels. No diploic veins were found in the area delimited by the temporal squama. Conclusions The pterional, orbitozygomatic, and supraorbital approaches place the FDV and ATDV at risk. The major anterior diploic system connects the SSS with the sphenoparietal sinus. The posterior diploic system connects the SSS with the transverse and sigmoid sinuses.

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Multiple dural arteriovenous fistulas developing after total removal of parasagittal meningioma: a case successfully treated with transvenous embolization

Cited by 7 publications

References 13 publications

A case of dural arteriovenous fistula draining to the diploic vein presenting with intracerebral hemorrhage

A case of dural arteriovenous fistula draining to the diploic vein presenting with intracerebral hemorrhage

Craniocervical junction venous anatomy around the suboccipital cavernous sinus: evaluation by MR imaging

The diploic venous system: surgical anatomy and neurosurgical implications

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