Skip to main content
Log in

Combined treatment of a dural arteriovenous malformation of the lateral sinus using transarterial and direct lateral sinus embolisation

  • Interventional Neuroradiology
  • Published:
Neuroradiology Aims and scope Submit manuscript

Abstract

An 80-year-old man presented with a dural arteriovenous malformation (DAVM) involving the left lateral sinus. A carotid angiogram showed the lateral sinus to be occluded proximally and distally, with unusual retrograde venous outflow from the residual sinus to the cortical veins, including a dilated vein of Labbé. Single photon emission computed tomography showed reduced left frontal and temporal cerebral blood flow. We concluded that the risk of bleeding from the DAVM was high and that the patient needed to be treated immediately. However, his age made surgical removal of the DAVM hazardous and we therefore chose to treat him by transarterial and direct lateral sinus embolisation via a burr hole.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Takaku A, Nishijima M (1982) Surgery for dural arteriovenous malformations in the posterior fossa. Neurol Surg 10: 1041–1046

    Google Scholar 

  2. Gottschaldt M, Voigt K, Dichgans J (1971) Sinusverschlüsse bei arteriovenösen Angiomen in hinteren Schädelgrube. Radiologe 11: 412–415

    Google Scholar 

  3. Nakahara I, Spellman JP, Bey LH, et al (1993) Posterior fossa dural arteriovenous fistula with isolated sinus segment. Brain Nerve (Tokyo) 45: 703–709

    Google Scholar 

  4. Handa J, Yoneda S, Handa H (1975) Venous sinus occlusion with a dural arteriovenous malformation of posterior fossa. Surg Neurol 4: 433–437

    Google Scholar 

  5. Houser OW, Campbell RU, Sundt TM (1979) Arteriovenous malformation affecting the transverse dural venous sinus: an acquired lesion. Mayo Clin Proc 54: 651–661

    Google Scholar 

  6. Chaudary MY, Sachdev VP, Cho SH, et al (1982) Dural arteriovenous malformation of the major venous sinuses: an acquired lesion. AJNR 3: 13–19

    Google Scholar 

  7. Lalwani AK, Dowd CF, Halbach VV (1993) Grading venous restrictive disease in patients with dural arteriovenous fistulas of the transverse/sigmoid sinus. J Neurosurg 79: 11–15

    Google Scholar 

  8. Seeger JF, Gabrielsen TO, Giannotta SL, Lotz PR (1980) Carotidcavernous sinus fistulas and venous thrombosis. AJNR 1: 141–148

    Google Scholar 

  9. Awad IA, Little JR, Akarawi WP, et al (1990) Intracranial dural arteriovenous malformations: factors predisposing to an aggressive neurological course. J Neurosurg 72: 839–850

    Google Scholar 

  10. Pierot L, Chiras J, Meder JF, et al (1992) Dural arteriovenous fistulas of the posterior fossa draining into subarachnoid veins. AJNR 13:315–332

    Google Scholar 

  11. Kawaguchi T, Fujita S, Ijichi A, et al (1990) Total removal of the dural arteriovenous malformation of the posterior fossa. Surg Cereb Stroke 18: 114–119

    Google Scholar 

  12. Sundt TM Jr, Nichols DA, Piegras DG, et al (1991) Strategies, techniques and approaches for dural arteriovenous malformations of the posterior dural sinuses. Clin Neurosurg 37: 155–170

    Google Scholar 

  13. Nakagomi T, Yamakawa K, Kawamoto S, et al (1990) Dural AVM in the posterior fossa treated by transcatheter embolization followed by sinus isolation. Surg Cerebral Stroke 18: 109–113

    Google Scholar 

  14. Barnwell SL, Halbach VV, Higashida RT, et al (1989) Complex dural artriovenous fistulas: results of combined endovascular and neurosurgical treatment in 16 patients. J Neurosurg 71: 352–358

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kasai, K., Iwasa, H., Yamada, N. et al. Combined treatment of a dural arteriovenous malformation of the lateral sinus using transarterial and direct lateral sinus embolisation. Neuroradiology 38, 494–496 (1996). https://doi.org/10.1007/BF00607288

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00607288

Key words

Navigation