Dural arteriovenous shunt involving the superior petrosal sinus: presentation and treatment by transvenous embolisation via the occipital and transverse sinuses

1997 ◽  
Vol 39 (1) ◽  
pp. 67-70 ◽  
Author(s):  
G. Branco ◽  
A. Takahashi ◽  
M. Ezura ◽  
M. Yoshida ◽  
T. Yoshimoto
Keyword(s):  
Arteriovenous Shunt ◽  
Superior Petrosal Sinus ◽  
Dural Arteriovenous Shunt ◽  
Transverse Sinuses

Spinal dural arteriovenous shunt presenting with intramedullary hemorrhage

2014 ◽  
Vol 20 (3) ◽  
pp. 322-326 ◽  
Author(s):  
Ayumi Narisawa ◽  
Toshiki Endo ◽  
Kenichi Sato ◽  
Mika Watanabe ◽  
Akira Takahashi ◽  
...  
Keyword(s):  
Chest Pain ◽  
Magnetic Resonance ◽  
Similar Case ◽  
Magnetic Resonance Images ◽  
High Flow ◽  
Clinical Suspicion ◽  
Arteriovenous Shunt ◽  
Thoracic Spinal ◽  
Dural Arteriovenous Shunt ◽  
Tendon Reflexes

The authors report on a 49-year-old man with a thoracic spinal dural arteriovenous shunt (dAVS) in which rupture of a varix caused intramedullary hemorrhage. In the literature, patients with a thoracic dAVS predominantly present with congestive myelopathy; however, the patient featured in this report presented without increased deep tendon reflexes or muscle weakness, but instead with intermittent stabbing chest pain and paresthesia. Magnetic resonance images and angiograms demonstrated tortuous enlargement and the formation of a varix-like structure of the draining veins, features compatible with those of high-flow angiopathy. Recognition of this phenomenon is important in thoracic dAVS because intramedullary hemorrhage dramatically degrades outcome. A high index of clinical suspicion can prevent a similar case of thoracic dAVS from progressing to intramedullary hemorrhage.

Familial incidence of the congenital torcular dural arteriovenous shunt: Case report and review of the literature

2016 ◽  
Vol 144 ◽  
pp. 129-132
Author(s):  
Amir R. Honarmand ◽  
Michael C. Hurley ◽  
Sameer A. Ansari ◽  
Tord D. Alden ◽  
Ryan Kuhn ◽  
...  
Keyword(s):  
Case Report ◽  
Arteriovenous Shunt ◽  
Review Of The Literature ◽  
Familial Incidence ◽  
Dural Arteriovenous Shunt

scholarly journals Spontaneous Angiographic Conversion of Intracranial Dural Arteriovenous Shunt

Stroke ◽  
2010 ◽  
Vol 41 (7) ◽  
pp. 1489-1494 ◽  
Author(s):  
Dong Joon Kim ◽  
Karel terBrugge ◽  
Timo Krings ◽  
Robert Willinsky ◽  
Christopher Wallace
Keyword(s):  
Arteriovenous Shunt ◽  
Dural Arteriovenous Shunt

E-006 Familial Incidence of the Congenital Torcular Dural Arteriovenous Shunt

2014 ◽  
Vol 6 (Suppl 1) ◽  
pp. A40.1-A40
Author(s):  
A Honarmand ◽  
M Hurley ◽  
V Daruwalla ◽  
S Ansari ◽  
A Shaibani
Keyword(s):  
Arteriovenous Shunt ◽  
Familial Incidence ◽  
Dural Arteriovenous Shunt

Cognard Type V Intracranial Dural Arteriovenous Shunt

Neurosurgery ◽  
2013 ◽  
Vol 74 (1) ◽  
pp. E135-E142 ◽  
Author(s):  
Shinya Haryu ◽  
Toshiki Endo ◽  
Kenichi Sato ◽  
Takashi Inoue ◽  
Akira Takahashi ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Venous Drainage ◽  
Arteriovenous Shunt ◽  
Resonance Imaging ◽  
Signal Flow ◽  
Dural Arteriovenous Shunt ◽  
Magnetic Resonance Imaging Mri ◽  
Type V ◽  
Mri Characteristics ◽  
Prompt Diagnosis

Abstract BACKGROUND AND IMPORTANCE: Prompt diagnosis of intracranial dural arteriovenous shunt (DAVS) with spinal venous drainage, classified as Cognard type V, is difficult. We investigated the angiographic and magnetic resonance imaging (MRI) characteristics of Cognard type V DAVS to determine the reason for the difficulty in early diagnosis. CLINICAL PRESENTATION: We systematically reviewed 54 published and 3 new cases of Cognard type V DAVS. The pattern of venous drainage was classified on the basis of relative dominance of the anterior and posterior spinal veins with the use of angiograms. T2-weighted sagittal MRIs were used to detect signal flow voids of enlarged spinal veins. Types of venous drainage were determined in 49 of the 57 cases. Twenty-eight and 8 cases showed a dominance of anterior and posterior spinal venous drainage, respectively. In 13 cases, venous drainage was equally distributed through the anterior and posterior spinal veins. Of 41 cases with an abnormally dilated anterior spinal vein, MRIs were available for 25 cases. Signal flow voids of enlarged anterior spinal veins were detected in 9 cases (36.0%), whereas dilatation of the posterior spinal veins was apparent in 9 of 16 cases (56.3%). Overall, MRI detected enlargement of either anterior or posterior spinal veins in 15 of 41 cases (36.6%). CONCLUSION: In Cognard type V DAVS, anterior venous drainage is dominant. Because the anterior spinal veins are located subpially, flow voids are less prominent on sagittal T2-weighted MRI. This may lead to difficulties in diagnosing. Evaluation with MR angiography may compensate for these limitations.

Venous angioarchitectural features of intracranial dural arteriovenous shunt and its relation to the clinical course

2013 ◽  
Vol 55 (9) ◽  
pp. 1119-1127 ◽  
Author(s):  
Na-Young Shin ◽  
Young Sub Kwon ◽  
Sam Yeol Ha ◽  
Byung Moon Kim ◽  
Dong Ik Kim ◽  
...  
Keyword(s):  
Clinical Course ◽  
Arteriovenous Shunt ◽  
Dural Arteriovenous Shunt

Low Flow Dural Arteriovenous Shunt: Another Cause of "Sinister" Tolosa-Hunt Syndrome

1994 ◽  
Vol 34 (9) ◽  
pp. 523-525 ◽  
Author(s):  
Paul W. Brazis ◽  
David J. Capobianco ◽  
Fenn-Lei F. Chang ◽  
William M. McLeish ◽  
Franklin Earnest
Keyword(s):  
Arteriovenous Shunt ◽  
Low Flow ◽  
Hunt Syndrome ◽  
Dural Arteriovenous Shunt

Fatal hemorrhagic complication after coil embolization of a petrosal arteriovenous shunt

2021 ◽  
pp. 159101992110577
Author(s):  
David Volders ◽  
Elena Adela Cora ◽  
Chiraz Chaalala ◽  
Maxime Cartier ◽  
Michihiro Tanaka ◽  
...  
Keyword(s):  
Posterior Fossa ◽  
Coil Embolization ◽  
Arteriovenous Shunt ◽  
Embolic Agent ◽  
Petrous Apex ◽  
Hemorrhagic Complication ◽  
Contrast Extravasation ◽  
Petrosal Vein ◽  
Hemorrhagic Risk ◽  
Superior Petrosal Sinus

Background Cerebello-pontine AVMs (CPAVMs) and petrous apex dural arteriovenous fistulae (DAVFs) are rare and sometimes difficult to distinguish. We report a fatal hemorrhagic complication after coil embolization of the petrosal vein draining a trigeminal AVM misdiagnosed as a DAVF. Case presentation A 73-year-old woman with a petrous apex arteriovenous shunt with dual dural and pial arterial supply presented with posterior fossa hemorrhage. The draining petrosal vein was catheterized and coiled via the superior petrosal sinus. Two episodes of contrast extravasation occurred during coiling, but the lesion was completely occluded at the end of the procedure. The patient developed a fatal posterior fossa hemorrhage in the recovery room. Microscopic pathology revealed numerous dilated vessels within the trigeminal nerve. Conclusion CPAVMs and DAVFs with pial drainage should be distinguished pre-operatively. Occlusion of a pial vein (as opposed to a sinus) in the treatment of an arteriovenous shunt carries hemorrhagic risk if a liquid embolic agent is not used to completely occlude all pathological vessels.

scholarly journals Successful Treatment of Cavernous Dural Arteriovenous Shunt Associated with Venous Congestion on Brain Stem

1998 ◽  
Vol 26 (1) ◽  
pp. 55-59 ◽  
Author(s):  
Hiroshi MANABE ◽  
Seiichiro FUJITA ◽  
Toru HATAYAMA ◽  
Shigeharu SUZUKI ◽  
Satoshi TAKAHASHI
Keyword(s):  
Brain Stem ◽  
Successful Treatment ◽  
Venous Congestion ◽  
Arteriovenous Shunt ◽  
Dural Arteriovenous Shunt
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