Document Detail


Anterior cranial fossa dural arteriovenous fistulae presenting as subdural hematoma.
MedLine Citation:
PMID:  20224719     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Anterior cranial fossa dural arteriovenous fistulae (DAVFs) are very rare and the bleeding rate is very high, especially in the presence of leptomeningeal draining vein and aneurysmal varix formation. A 85-year-old male patient presented with subdural hematoma (SDH). Magnetic resonance image (MRI) and transfemoral carotid angiography (TFCA) disclosed DAVF at the anterior cranial fossa with bilateral arterial feeders and leptomeningeal draining vein with varix formation. The lesion was treated by simple ligation of pial connecting vein using low frontal craniotomy. In comparison with DAVFs of the other sites, the anterior cranial fossa DAVF is difficult to manage by endovascular treatment due to not only the difficulty of transvenous access but the risk of visual impairment when using transarterial route. Surgical ligation of pial connecting vein is feasible and effective treatment.
Authors:
Hyuk Jin Choi; Chang Won Cho
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Publication Detail:
Type:  Journal Article     Date:  2010-02-28
Journal Detail:
Title:  Journal of Korean Neurosurgical Society     Volume:  47     ISSN:  1598-7876     ISO Abbreviation:  J Korean Neurosurg Soc     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-03-12     Completed Date:  2011-07-14     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101467054     Medline TA:  J Korean Neurosurg Soc     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  155-7     Citation Subset:  -    
Affiliation:
Department of Neurosurgery, Maryknoll Medical Center, Busan Catholic Health System, Busan, Korea.
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