Unusual Presentation of a Dural Arteriovenous Fistula of the Superior Sagittal Sinus and Single Modality Therapy with Onyx

Developmental Biology

Bart M. Demaerschalk¹  Brian W. Chong¹ 

关键词: AVM;    ACA;    CT;    DAVF;    DMSO;    ECA;    ICA;    MCA;    MMA;    middle meningeal artery;    MRI;    NBCA;   

DOI  :  10.2484/rcr.v3i1.158

学科分类：医学（综合）

来源: University of Washington * Department of Radiology

【 摘 要 】

Superior sagittal sinus (SSS) dural arteriovenous fistulas (DAVF) are rare and present unique challenges to treatment. Complex, often bilateral, arterial supply and involvement of large volumes of eloquent cortical venous drainage may necessitate multimodality therapy. We report a case of a DAVF of the SSS in a patient who presented uniquely with increasing dizziness and disequilibrium who was treated with a single modality, endovascular embolization with ethyl vinyl alcohol co-polymer (Onyx, EV3, Irvine, CA). The patient underwent staged embolization in 2 sessions with no complications. An angiographic cure was achieved and the patient's symptoms were ameliorated. Single modality therapy with endovascular embolization of a SSS DAVF can be achieved. Careful attention to technique during embolization with Onyx is required, but complete obliteration is possible without the need for adjunctive surgical resection.

【 授权许可】

Unknown