Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Infantile Dural Arteriovenous Fistula of the Transverse Sinus Presenting with Ocular Symptoms, Case Reports and Review of Literature

  • Sultan, Ahmed Elsayed (Department of Neurosurgery, Alexandria University School of Medicine) ;
  • Hassan, Tamer (Department of Neurosurgery, Alexandria University School of Medicine)
  • Received : 2014.12.05
  • Accepted : 2015.03.09
  • Published : 2016.05.01
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Abstract

Dural arteriovenous fistula (DAVF) of the transverse sinus with ophthalmic manifestations in young children are rare. We reviewed two cases of direct AVF of the transverse sinus with ocular manifestations managed at our institution. The first, a 2.5 years old male child presented with left exophthalmos. Angiography revealed AVF between the occipital artery and the transverse sinus. The second, a 2 years old female child, complained of left exophthalmos. Imaging studies showed bilateral direct AVFs of the transverse sinus with bilateral dysmaturation of the sigmoid sinus. Transarterial embolization was done in both cases. Clinical and radiological follow up revealed complete cure. This report suggests that DAVF of the transverse sinus supplied by the external carotid branches can present with ophthalmic manifestations especially if there is distal venous stenosis or obliteration involving sigmoid sinus. Transarterial embolization using coils and liquid embolic agents could be safe and feasible to obliterate the fistula.

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References

  1. Berenstein A, Lasjaunias PL, TerBrugge KG : Dural arteriovenous shunts. Surgical Neuroangiography. Heidelberg : Springer-Verlag Berlin Heidelberg, Vol 3 : Clinical and Interventional Aspects in Children, 2006, pp389-453
  2. Borden JA, Wu JK, Shucart WA : A proposed classification for spinal and cranial dural arteriovenous fistulous malformations and implications for treatment. J Neurosurg 82 : 166-179, 1995 https://doi.org/10.3171/jns.1995.82.2.0166
  3. Cataltepe O, Berker M, Gurcay O, Erbengi A : An unusual dural arteriovenous fistula in an infant. Neuroradiology 35 : 394-397, 1993 https://doi.org/10.1007/BF00588379
  4. Chaudhary MY, Sachdev VP, Cho SH, Weitzner I Jr, Puljic S, Huang YP : Dural arteriovenous malformation of the major venous sinuses : an acquired lesion. AJNR Am J Neuroradiol 3 : 13-19, 1982
  5. Cognard C, Gobin YP, Pierot L, Bailly AL, Houdart E, Casasco A, et al. : Cerebral dural arteriovenous fistulas : clinical and angiographic correlation with a revised classification of venous drainage. Radiology 194 : 671-680, 1995 https://doi.org/10.1148/radiology.194.3.7862961
  6. Davies MA, TerBrugge K, Willinsky R, Coyne T, Saleh J, Wallace MC : The validity of classification for the clinical presentation of intracranial dural arteriovenous fistulas. J Neurosurg 85 : 830-837, 1996 https://doi.org/10.3171/jns.1996.85.5.0830
  7. Harrigan MR, Deveikis JP, Ardelt AA : Dural arteriovenous fistulas in Harrigan MR, Deveikis JP (eds) : Handbook of Cerebrovascular Disease and Neurointerventional Technique. New York : Humana Press, 2009, pp539-560
  8. Herman JM, Spetzler RF, Bederson JB, Kurbat JM, Zabramski JM : Genesis of a dural arteriovenous malformation in a rat model. J Neurosurg 83 : 539-545, 1995 https://doi.org/10.3171/jns.1995.83.3.0539
  9. Houdart E, Gobin YP, Casasco A, Aymard A, Herbreteau D, Merland JJ : A proposed angiographic classification of intracranial arteriovenous fistulae and malformations. Neuroradiology 35 : 381-385, 1993 https://doi.org/10.1007/BF00588376
  10. Ihn YK, Kim MJ, Shin YS, Kim BS : Dural arteriovenous fistula involving an isolated sinus treated using transarterial onyx embolization. J Korean Neurosurg Soc 52 : 480-483, 2012 https://doi.org/10.3340/jkns.2012.52.5.480
  11. Liu HM, Shih HC, Huang YC, Wang YH : Posterior cranial fossa arteriovenous fistula with presenting as caroticocavernous fistula. Neuroradiology 43 : 405-408, 2001 https://doi.org/10.1007/s002340100551
  12. McDougall CG, Halbach VV, Dowd CF, Higashida RT, Larsen DW, Hieshima GB : Dural arteriovenous fistulas of the marginal sinus. AJNR Am J Neuroradiol 18 : 1565-1572, 1997
  13. Mironov A : Dural arteriovenous fistula of the inferior petrosal sinus producing contralateral exophthalmus. Neuroradiology 36 : 619-621, 1994 https://doi.org/10.1007/BF00600423
  14. Morita A, Meyer FB, Nichols DA, Patterson MC : Childhood dural arteriovenous fistulae of the posterior dural sinuses : three case reports and literature review. Neurosurgery 37 : 1193-1199; discussion 1199-1200, 1995 https://doi.org/10.1227/00006123-199512000-00020
  15. Nakamura M, Tamaki N, Hara Y, Nagashima T : Two unusual cases of multiple dural arteriovenous fistulas. Neurosurgery 41 : 288-292; discussion 292-293, 1997 https://doi.org/10.1097/00006123-199707000-00051
  16. Souza MP, Willinsky RA, Terbrugge KG : Intracranial dural arteriovenous shunts in children. The toronto experience. Interv Neuroradiol 9 (Suppl 2) : 47-52, 2003
  17. Spittau B, Millan DS, El-Sherifi S, Hader C, Singh TP, Motschall E, et al. : Dural arteriovenous fistulas of the hypoglossal canal : systematic review on imaging anatomy, clinical findings, and endovascular management. J Neurosurg 122 : 883-903, 2015 https://doi.org/10.3171/2014.10.JNS14377
  18. Toledo MM, Wilson TJ, Dashti S, McDougall CG, Spetzler RF : Dural arteriovenous fistula associated with superior sagittal sinus occlusion secondary to invasion by a parafalcine meningioma : case report. Neurosurgery 67 : 205-207; discussion 207, 2010 https://doi.org/10.1227/01.NEU.0000370089.94032.4F
  19. Wang TJ, Jou JR, Woung LC, Shih YF, Lin LLK : Ophthalmic manifestations of intracranial dural arteriovenous fistula - report of four cases. Tzu Chi Med J 17 : 93-99, 2005