Development of a dural arteriovenous fistula subsequent to cerebral venous thrombosis by venous hypertension

Intracerebral hemorrhage is a devastating form of stroke and is more common in patients with hypertension and renal disease. We present the case of a lady suffering from chronic kidney disease who presented with severe headache and aphasia. On evaluation, she was found to have an intraparenchymal hemorrhage in the left temporal lobe with prominent pial and dural veins suggestive of a dural arteriovenous fistula (DAVF). Subsequently, she was detected to have occlusion of the left brachiocephalic vein (LBCV), which resulted in venous hypertension and resulted in this rare complication. Angioplasty followed by stenting of the LBCV resulted in subsidence of her symptoms. We wish to highlight this unusual but treatable complication of limb AV fistula which can mimic intracranial DAVF.

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Bilateral Blood Reflux Into Schlemm Canals Caused by a Unilateral Dural Sinus Arteriovenous Fistula in a Patient With Cerebral Venous Thrombosis

Journal of Neuro-Ophthalmology ◽

10.1097/wno.0000000000001419 ◽

2021 ◽

Vol Publish Ahead of Print ◽

Author(s):

Tung Thanh Hoang ◽

Hoa Dung Do ◽

Ha Thai Do ◽

Cuong Ngoc Nguyen ◽

Wallace L.M. Alward

Keyword(s):

Venous Thrombosis ◽

Arteriovenous Fistula ◽

Cerebral Venous Thrombosis ◽

Dural Sinus

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Intracranial Venous Hypertension Induced by Superior Vena Cava Syndrome Mimicking Cavernous Dural Arteriovenous Fistula

World Neurosurgery ◽

10.1016/j.wneu.2018.07.116 ◽

2018 ◽

Vol 118 ◽

pp. 265-268 ◽

Cited By ~ 1

Author(s):

Hyon-Jo Kwon ◽

JeongWook Lim ◽

Bumsoo Park ◽

Hyeon-Song Koh ◽

Seung-Won Choi ◽

...

Keyword(s):

Arteriovenous Fistula ◽

Superior Vena Cava ◽

Dural Arteriovenous Fistula ◽

Superior Vena Cava Syndrome ◽

Superior Vena ◽

Vena Cava ◽

Venous Hypertension ◽

Vena Cava Syndrome

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Endovascular treatment of complex dural arteriovenous fistula using the dual-microcatheter technique

Neurosurgical FOCUS ◽

10.3171/2014.v2.focus14177 ◽

2014 ◽

Vol 37 (v1supplement) ◽

pp. 1 ◽

Cited By ~ 1

Author(s):

Michael R. Levitt ◽

Joshua W. Osbun ◽

John D. Nerva ◽

Louis J. Kim

Keyword(s):

Endovascular Treatment ◽

Arteriovenous Fistula ◽

Dural Arteriovenous Fistula ◽

Venous Drainage ◽

Jugular Bulb ◽

Endovascular Embolization ◽

Venous Hypertension ◽

Lost To Follow Up ◽

Onyx Copolymer

A 71-year-old woman presented with headache and dilated vessels on CTA. Angiography demonstrated a complex dural arteriovenous fistula with retrograde cortical venous hypertension, supplied by branches of internal and external carotids bilaterally into a fistulous pouch paralleling the left transverse and sigmoid sinuses, which was occluded at the jugular bulb. The patient refused treatment and was lost to follow-up, returning with sudden confusion and hemianopsia from left temporo-occipital hemorrhage. Transvenous endovascular embolization was performed using the dual-microcatheter technique with a combination of coiling and Onyx copolymer, completely occluding the sinus and fistula while preserving normal venous drainage.The video can be found here: http://youtu.be/u_4Oc7tSmDM.

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E-107 Intracranial venous hypertension induced by extracranial arteriovenous fistula mimicking dural arteriovenous fistula

10.1136/neurintsurg-2018-snis.183 ◽

2018 ◽

Author(s):

J Lim ◽

H Kwon ◽

H Koh ◽

S Choi ◽

S Kim

Keyword(s):

Arteriovenous Fistula ◽

Dural Arteriovenous Fistula ◽

Venous Hypertension

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Endovascular treatment of a tentorial dural arteriovenous fistula

Neurosurgical FOCUS ◽

10.3171/2014.v2.focus14184 ◽

2014 ◽

Vol 37 (v1supplement) ◽

pp. 1 ◽

Cited By ~ 4

Author(s):

Omar Choudhri ◽

Michael P. Marks

Keyword(s):

Endovascular Treatment ◽

Arteriovenous Fistula ◽

Cerebral Artery ◽

Dural Arteriovenous Fistula ◽

Posterior Cerebral Artery ◽

Interesting Case ◽

Venous Hypertension ◽

Vein Of Galen ◽

Arteriovenous Fistulae ◽

Tentorium Cerebelli

Tentorial dural arteriovenous fistulae are rare intracranial fistulae, in which the fistula pocket is present within the leaves of tentorium cerebelli. These tentorial fistulae can be rarely present near the galenic complex, where they can engorge the deep venous system and cause symptoms of venous hypertension. We present an interesting case of endovascular treatment of a galenic tentorial dural arteriovenous fistula in a patient with headaches and imbalance. The fistula was accessed through the artery of Davidoff and Schecter from the posterior cerebral artery supplying the fistula. The fistula was completely embolized using Onyx and with preservation of vein of Galen.The video can be found here: http://youtu.be/igX2X5tfvrg.

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Endovascular Treatment of a Dural Arteriovenous Fistula of the Transverse Sinus by Recanalisation, Angioplasty and Stent Deployment

Interventional Neuroradiology ◽

10.1177/159101990300900111 ◽

2003 ◽

Vol 9 (1) ◽

pp. 65-69 ◽

Cited By ~ 5

Author(s):

W. Weber ◽

B. Kis ◽

J. Esser ◽

P. Berlit ◽

D. Kühne

Keyword(s):

Endovascular Treatment ◽

Arteriovenous Fistula ◽

Dural Arteriovenous Fistula ◽

Clinical Symptoms ◽

Venous Drainage ◽

Venous Hypertension ◽

Venous Reflux ◽

Stent Deployment ◽

Total Occlusion ◽

Cortical Venous Reflux

We report the endovascular treatment of a 40-year-old woman with bilaterally thrombosed transverse sinuses and a dural arteriovenous fistula (DAVF) causing cortical venous reflux by recanalization, angioplasty and stent deployment of the occluded sinus segment followed by occlusion of the DAVF by stent deployment in the fistulous segment. By recanalization of the occluded sinus we re-established normal anterograde venous drainage and eliminated the venous hypertension and cortical venous reflux. After the procedure, the patient was treated with aspirin and clopidogrel for three months. A follow-up examination showed total occlusion of the DAVF, patency of the sinus and a complete resolution of the clinical symptoms.

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