Dural Arteriovenous Fistula Presenting as Tentorial Subdural Hemorrhage
- 22 Downloads
Subdural hemorrhage is frequently caused by trauma and is commonly seen in older people; however, subdural hemorrhage has been reported after ruptured intracranial aneurysms and in relation to dural arteriovenous fistulas as well as arteriovenous malformations. This article presents a case of pure subdural hemorrhage of the tentorium cerebelli secondary to a posterior fossa dural arteriovenous fistula, later treated with endovascular embolization and subsequently radiotherapy.
Intracranial dural arteriovenous fistulae (DAVF) are a frequently encountered pathology believed to be related to venous thrombosis ; however, the exact pathophysiological mechanisms are still unknown and likely to be multifactorial . The two classification systems currently in use focus on the venous drainage pathways and particularly on whether there is flow into the cortical veins [3, 4, 5]. Cortical venous reflux and anterograde flow from the DAVF into cortical veins are the main...
Compliance with ethical guidelines
Conflict of interest
P. Bhogal, L.L. Yeo and M. Söderman declare that they have no competing interests.
Ethics committee approval was not required for this publication. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1975 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study
- 1.Kutluk K, Schumacher M, Mironov A. The role of sinus thrombosis in occipital dural arteriovenous malformations—development and spontaneous closure. Neurochirurgia (Stuttg). 1991;34:144–7.Google Scholar
- 7.Al-Shahi R, Bhattacharya JJ, Currie DG, Papanastassiou V, Ritchie V, Roberts RC, Sellar RJ, Warlow CP; Scottish Intracranial Vascular Malformation Study Collaborators. Prospective, population-based detection of intracranial vascular malformations in adults: the Scottish Intracranial Vascular Malformation Study (SIVMS). Stroke. 2003;34:1163–9.CrossRefGoogle Scholar
- 47.Hetts SW, Yen A, Cooke DL, Nelson J, Jolivalt P, Banaga J, Amans MR, Dowd CF, Higashida RT, Lawton MT, Kim H, Halbach VV. Pial artery supply as an anatomic risk factor for ischemic stroke in the treatment of intracranial dural arteriovenous fistulas. AJNR Am J Neuroradiol. 2017;38:2315–20.CrossRefGoogle Scholar
- 54.Bhogal P, AlMatter M, Hellstern V, Bäzner H, Ganslandt O, Henkes H, Aguilar Pérez M. High-grade dural arteriovenous fistulas : use of Kaneka ED coils with the marathon microcatheter for transvenous coil embolization. Clin Neuroradiol. 2018; https://doi.org/10.1007/s00062-018-0724-y.CrossRefPubMedGoogle Scholar