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Vaibhav Kumar Jain, Vivek Singh, Vikas Kannaujia, Priyadarshini Mishra, Rajendra Vishnu Phadke, Kumudini Sharma
This case series aimed to review the significance of revisiting papilledema after successful cerebral venous sinus thrombosis (CVST) management with sinus angioplasty. Four patients presented with blurring and transient obscuration of vision with papilledema, headache, tinnitus, and vomiting. On magnetic resonance venography and digital subtraction angiography, chronic transverse sinus thrombosis was diagnosed for which patients underwent endovascular intervention (stenting). After the resolution of CVST, patients developed the recurrence of symptoms which on digital subtraction angiography revealed dural arteriovenous malformation (DAVM)...
May 2018: Indian Journal of Ophthalmology
Vasant Garg, Sunil Manjila, Mark Corriveau, Nicholas C Bambakidis, Jeffrey L Sunshine
61-year-old male presented with shortness of breath and chest pain. Workup for acute myocardial infarction was negative; however, computed tomography angiography visualized what a vascular malformation within the cervical spinal canal. Given the patient's history of Servelle-Martorell syndrome, neurovascular imaging was performed. We present the unique vascular findings of a right thyrocervical trunk-based dural arteriovenous malformation (dAVM) and a large epidural venous varix. The cervical dAVM induced intervertebral foraminal widening and polyradiculopathy, representing a rare adult case of congenital vascular bone syndrome...
July 2015: Clinical Imaging
Shaun P Appaduray, James A J King, Alison Wray, Patrick Lo, Wirginia Maixner
Pediatric dural arteriovenous malformations (dAVMs) are rare lesions that have a high mortality rate and require complex management. The authors report 3 cases of pediatric dAVMs that presented with macrocrania and extracranial venous distension. Dural sinus thrombosis developed in 2 of the cases prior to any intervention, which is an unusual occurrence for this particular disease. All 3 cases were treated using staged endovascular embolization with a favorable outcome in 1 case and a poor outcome in the other 2 cases...
July 2014: Journal of Neurosurgery. Pediatrics
César de Paula Lucas, Mirto Nelso Prandini, Laurent Spelle, Michel Piotin, Charbel Mounayer, Jacques Moret
An unusual case of dural arteriovenous malformation (DAVM) harboring a parallel transverse-sigmoid sinus (TSS) is presented. The patient had a 2-year history of left-sided pulsatile tinnitus in the left ear refractory to medical management. Angiography demonstrated a DAVM involving the left TSS. Super-selective transvenous dural sinus occlusion of the DAVM situated at the pathological compartment of the TSS provided cure. We were able to spare the normal compartment providing anatomical venous drainage from this system...
March 2010: Acta Neurochirurgica
Jonathan N Johnson, Tyler K Hartman, William Barbaresi, Corey Raffel, Christopher E Colby
Large dural arteriovenous malformations (DAVMs) accompanied by cardiac failure usually carry a poor prognosis with a high risk of morbidity and death. The authors report on the case of a male neonate with a massive DAVM who presented at birth with macrocephaly and high-output cardiac failure. The child initially underwent treatment with surgical clipping of the large main feeding artery. Hydrocephalus, thought to be due to venous hypertension, developed when the boy was 8 months old. The condition resolved after interventional embolization treatment...
February 2009: Journal of Neurosurgery. Pediatrics
N Hammami, I Ben Yaacoub, S Nagi, C Drissi, R Sebai, M Ben Hamouda
BACKGROUND: This is a report of the endovascular treatment of three intracranial dural arteriovenous malformations (DAVM) using Onyx. PATIENTS AND METHODS: We analyzed the clinical and angiographic results in three patients with intracranial DAVM, revealed by a hemorrhagic event and treated by endovascular way by the use Onyx. Angiographic investigation showed the DAVM to be located in the lateral sinus in two cases and in the tentorium region in the third. RESULTS: In all three cases, embolization was performed by selective catheterization of the meningeal arterial feeder of the DAVM...
December 2008: Journal of Neuroradiology. Journal de Neuroradiologie
A O Dare, J C Chaloupka, P L Mayer, C M Putman, I A Awad
A case of bilateral Barrow type D dural arteriovenous malformations (DAVMs) of the cavernous sinuses is described in a 66-year-old woman who, despite having moderate symptoms with partial resolution and benign findings on non-invasive imaging, was ultimately found to have associated leptomeningeal venous drainage on conventional angiography. This case illustrates the problem of discordance between clinical symptoms, non-invasive imaging and actual radiologic features predisposing to aggressive clinical behaviour in DAVMs detected by conventional angiography...
April 1997: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
César de Paula Lucas, Charbel Mounayer, Laurent Spelle, Michel Piotin, Marco T Rezende, Jacques Moret
OBJECTIVE: Anatomic and clinical cure of dural arteriovenous malformations (DAVM) with isolated sinus is difficult to achieve by endovascular means without previous surgical exposure. We propose a new management technique using a new liquid embolic agent (ethylene-vinyl alcohol copolymer [Onyx-18]; ev3 Inc., Plymouth, MN) via an endoarterial approach that would avoid surgical craniotomy. BACKGROUND: Data of three consecutive patients with a DAVM with isolated sinus treated at our department between January 2005 and June 2005 are described...
November 2007: Neurosurgery
T H Flynn, S McSweeney, G O'Connor, G Kaar, D Q Ryder
Dural arteriovenous malformations in the anterior cranial fossa are rare and are especially prone to haemorrhage. These lesions are usually treated by surgical excision. We report the embolization of an anterior cranial fossa DAVM using an endovascular approach via the ophthalmic artery.
August 2007: British Journal of Neurosurgery
R Rahme, Y Ali, S Slaba, E Samaha
Trigeminal neuralgia has been rarely reported in association with dural arteriovenous malformations (DAVMs). We describe a case of trigeminal neuralgia resulting from compression of the trigeminal nerve at its root entry zone by a large tentorial DAVM. Surgical interruption of the draining vein at its exit from the tentorium resulted in complete angiographic obliteration of the fistula with immediate resolution of the facial pain. We review the literature relevant to this topic and discuss the aetiology and pathophysiology of trigeminal neuralgia as well as the management of tentorial DAVMs...
2007: Acta Neurochirurgica
A Bisdorff, J B Mulliken, J Carrico, R L Robertson, P E Burrows
BACKGROUND AND PURPOSE: The purpose of this study was to determine the nature, incidence, and radiologic appearance of intracranial vascular anomalies that occur in association with periorbital lymphatic malformation (LM) and lymphaticovenous malformation (LVM). MATERIALS AND METHODS: We retrospectively reviewed clinical records and imaging studies of 33 patients ranging in age from the neonatal period to 39 years (mean age, 5.1 years; median age, 1.0 year) who were evaluated for orbital LM or LVM at our institution between 1953 and 2002...
February 2007: AJNR. American Journal of Neuroradiology
H Shownkeen, K Yoo, J Leonetti, T C Origitano
Transverse-sigmoid sinus dural arteriovenous malformations (DAVM) are uncommon vascular lesions for which complete cure may be difficult to obtain. A wide variety of treatments for these lesions include observation, arterial compression, surgical resection, and endovascular embolization. We propose that transverse-sigmoid sinus DAVM can be completely cured by occluding the ipsilateral dural sinus with detachable balloon and Guglielmi detachable coils (GDC) coils before arterial feeder embolization with histoacryl...
February 2001: Skull Base: Official Journal of North American Skull Base Society ... [et Al.]
Toshinori Matsushige, Mitsuo Nakaoka, Keiji Ohta, Kaita Yahara, Hisayo Okamoto, Kaoru Kurisu
BACKGROUND: Tentorial dAVMs as a cause of trigeminal neuralgia are extremely rare. Consensus exists that radical treatment of such high-flow dAVMs should be considered because of their high risk of bleeding. The authors present a case of a 50-year-old man who presented with symptoms of tic douloureux caused by tentorial dAVM, which was treated successfully by SRS. CASE DESCRIPTION: The patient consulted us with a 1-month history of harboring right trigeminal neuralgia...
November 2006: Surgical Neurology
F Toulgoat, C Mounayer, M Túlio Salles Rezende, M Piotin, L Spelle, G Lazzarotti, H Desal, J Moret
OBJECTIVE: To report our recent experience in transarterial embolisation of dural arteriovenous malformations (DAVM) using a new liquid embolic agent, Onyx18. PATIENTS AND METHODS: 6 patients were enrolled in this series. Clinical presentation was separated into 2 groups: aggressive (n=2), non aggressive (n=4). The DAVM was located at the superior sagittal sinus (n=1), at the transverse sinus (n=2), at the condylian canal (n=1), in the lesser sphenoid wing region (n=1), and in the tentorium region (n=1)...
April 2006: Journal of Neuroradiology. Journal de Neuroradiologie
César de Paula Lucas, Mirto N Prandini, José Guilherme Mendes Pereira Caldas
The material for this research consisted of 93 patients with dural arteriovenous malformations (DAVMs) who were studied retrospectively with regards to therapeutic success and failure, who had undergone either neurosurgery, or embolization or a combination of both methods and whose disease was located in the cavernous sinus, the superior sagittal sinus, the transverse-sigmoid sinus of the anterior fossa and the tentorium. Thus, it was possible to arrive at the following conclusions: treatment of the DAVMs must be indicated, jointly, by an interventionist neuroradiologist and a neurosurgeon; DAVMs of the transverse-sigmoid sinus were better treated when a combination of both methods was used; DAVMs of the tentorium were also better treated with a combined method; the endovascular method ensured only a 50% chance of therapeutic success for DAVMs of the superior sagittal sinus; DAVMs of the cavernous sinus are better treated when the endovascular method was used with a transvenous approach, relative to the transarterial approach...
September 2005: Arquivos de Neuro-psiquiatria
S A Rath, S Derakshani
BACKGROUND: We describe a treatment protocol for patients who have a dural arteriovenous fistulae (dAVF) not curable solely by an endovascular approach. MATERIAL AND METHODS: Three patients suffering from neurological impairment due to a complex dAVM (intracranial haemorrhage 2, intracranial hypertension 1) were treated by a combination of arterial embolization treatment and subsequent surgery. RESULTS: Marked reduction of flow was achieved by embolization of the main arterial feeders of the fistulae...
March 2004: Acta Neurochirurgica
Patrick R Tomak, Harry J Cloft, Akihiko Kaga, C Michael Cawley, Jacques Dion, Daniel L Barrow
OBJECTIVE: Tentorial dural arteriovenous malformations (DAVMs) are uncommon lesions associated with an aggressive natural history. Controversy exists regarding their optimal treatment. We present a single-institution series of tentorial DAVMs treated during a 12-year period, address the current controversies, and present the rationale for our current therapeutic strategy. METHODS: Twenty-two patients with tentorial DAVMs were treated between 1988 and 2000. Treatment consisted of transarterial or transvenous embolization, surgical resection, disconnection of venous drainage, or a combination of these therapies...
April 2003: Neurosurgery
H Caksen, O Unal, T Tombul, Y Cesur, M Abuhandan
A 3 year and 6 month old girl with epilepsy associated with dural arteriovenous malformation (DAVM), diagnosed on the MRI, is presented to emphasise the importance of DAVM in the aetiology of childhood epilepsy.
September 2001: Neurology India
C J Chen, Y Y Wai, L J Wang, Y C Wong
Intraosseous dural arteriovenous malformation (DAVM) is rare. The intraosseous component of this DAVM has usually been neglected on conventional angiography and found during operation after the bone drilling has been completed. Considerable bleeding usually occurs during operation because of the unexpected hypervascular bone marrow. We report the use of MRI to help in the diagnosis and therapeutic plan for this rare type of DAVM.
January 2001: Journal of Computer Assisted Tomography
R Huna-Baron, A Setton, M J Kupersmith, A Berenstein
AIMS: Orbital arteriovenous malformations (OAVM) are rare, mostly described with high flow characteristics. Two cases are reported with an OAVM of distinct haemodynamic abnormality. The clinical, angiographic features, and the management considerations are discussed. METHODS: Case review of two patients with dural AVM (DAVM) who presented to referral neuro-ophthalmology and endovascular services because of clinical symptoms and signs consistent with a cavernous sinus dural AVM...
July 2000: British Journal of Ophthalmology
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