Transcranial Approach for Arterial Embolization of Dural Arteriovenous Fistula Within the Wall of the Superior Sagittal Sinus : A Case Report.
- Author:
Jun Seok KOH
1
;
Chang Woo RYU
;
Jae Seung BANG
;
Seung Whan LEE
Author Information
1. Department of Neurosurgery, Stroke and Neurological Disorders Centre, Kyung Hee University East-West Neo Medical Hospital, Seoul, Korea. neurokoh@hanmail.net
- Publication Type:Case Report
- Keywords:
Dural arteriovenous fistula;
Superior sagittal sinus;
Craniectomy;
Embolization
- MeSH:
Adhesives;
Catheters;
Central Nervous System Vascular Malformations*;
Fistula;
Headache Disorders;
Meningeal Arteries;
Punctures;
Superior Sagittal Sinus*
- From:Neurointervention
2007;2(2):117-121
- CountryRepublic of Korea
- Language:English
-
Abstract:
We present a case of dural arteriovenous fistula (dAVF) within the wall of the superior sagittal sinus(SSS) presenting with chronic headache. Transfemoral arterial embolization was tried but failed because of tortuous middle meningeal artery (MMA) feeders preventing the microcatheter from reaching the fistula closely enough. A small craniectomy was performed to directly puncture the feeder close to the SSS, and then glue occlusion of the dAVF through the directly catheterized MMA was successfully accomplished.