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Tentorial dural arteriovenous fistula presenting symptoms due to mass effect on the dilated draining vein: case report.
Surg Neurol. 2006 May; 65(5):511-5.SN

Abstract

BACKGROUND

Tentorial dural arteriovenous fistula (AVF) presented symptoms due to mass effect on the dilated draining vein. We report a patient presenting left hemisensory disturbance because of compression of the midbrain by a dilated draining vein of the AVF. The AVF has disappeared completely by drainer clipping after feeder embolization.

CASE DESCRIPTION

A 66-year-old woman presented with left hemisensory disturbance due to compression of the midbrain by a dilated draining vein with tentorial dural AVF. On admission, she complained of left hemisensory disturbance. Enhanced computed tomography (CT), magnetic resonance imaging, and magnetic resonance angiogram revealed the midbrain compressed by a mass lesion, which was a draining vein with AVF fed by numerous feeding arteries neighboring the right tentorial edge. The single-photon emission CT (SPECT) did not depict any laterality.

CONCLUSION

This is a rare case of a tentorial dural AVF which caused left hemisensory disturbance not by venous congestion, but by a compression of the midbrain by the dilated draining vein, because SPECT showed no laterality. In this case, magnetic resonance angiogram, 3-dimensional CT angiography, and SPECT were useful in the diagnosis and planning the strategy for treatment.

Authors+Show Affiliations

Iwamuro Y
Department of Neurosurgery, Kokura Memorial Hospital, Kitakyushu, Fukuoka 802-003, Japan. yiwamuro@tc4.so-net.ne.jp
Nakahara I
No affiliation info available
Higashi T
No affiliation info available
Iwaasa M
No affiliation info available
Watanabe Y
No affiliation info available
Hirata E
No affiliation info available
Tsunetoshi K
No affiliation info available
Taha M
No affiliation info available

MeSH

AgedArteriovenous FistulaCerebral AngiographyCerebral VeinsConstriction, PathologicDura MaterEmbolization, TherapeuticFemaleHumansIntracranial Arteriovenous MalformationsMagnetic Resonance AngiographyMagnetic Resonance ImagingMesencephalonNeurosurgical ProceduresTomography, Emission-Computed, Single-PhotonTomography, X-Ray ComputedVascular Surgical Procedures

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16630920

Citation

Iwamuro, Yasushi, et al. "Tentorial Dural Arteriovenous Fistula Presenting Symptoms Due to Mass Effect On the Dilated Draining Vein: Case Report." Surgical Neurology, vol. 65, no. 5, 2006, pp. 511-5.
Iwamuro Y, Nakahara I, Higashi T, et al. Tentorial dural arteriovenous fistula presenting symptoms due to mass effect on the dilated draining vein: case report. Surg Neurol. 2006;65(5):511-5.
Iwamuro, Y., Nakahara, I., Higashi, T., Iwaasa, M., Watanabe, Y., Hirata, E., Tsunetoshi, K., & Taha, M. (2006). Tentorial dural arteriovenous fistula presenting symptoms due to mass effect on the dilated draining vein: case report. Surgical Neurology, 65(5), 511-5.
Iwamuro Y, et al. Tentorial Dural Arteriovenous Fistula Presenting Symptoms Due to Mass Effect On the Dilated Draining Vein: Case Report. Surg Neurol. 2006;65(5):511-5. PubMed PMID: 16630920.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tentorial dural arteriovenous fistula presenting symptoms due to mass effect on the dilated draining vein: case report. AU - Iwamuro,Yasushi, AU - Nakahara,Ichiro, AU - Higashi,Toshio, AU - Iwaasa,Mitsutoshi, AU - Watanabe,Yoshihiko, AU - Hirata,Eishu, AU - Tsunetoshi,Kenzo, AU - Taha,Mahmoud, PY - 2005/05/16/received PY - 2005/07/19/accepted PY - 2006/4/25/pubmed PY - 2006/5/26/medline PY - 2006/4/25/entrez SP - 511 EP - 5 JF - Surgical neurology JO - Surg Neurol VL - 65 IS - 5 N2 - BACKGROUND: Tentorial dural arteriovenous fistula (AVF) presented symptoms due to mass effect on the dilated draining vein. We report a patient presenting left hemisensory disturbance because of compression of the midbrain by a dilated draining vein of the AVF. The AVF has disappeared completely by drainer clipping after feeder embolization. CASE DESCRIPTION: A 66-year-old woman presented with left hemisensory disturbance due to compression of the midbrain by a dilated draining vein with tentorial dural AVF. On admission, she complained of left hemisensory disturbance. Enhanced computed tomography (CT), magnetic resonance imaging, and magnetic resonance angiogram revealed the midbrain compressed by a mass lesion, which was a draining vein with AVF fed by numerous feeding arteries neighboring the right tentorial edge. The single-photon emission CT (SPECT) did not depict any laterality. CONCLUSION: This is a rare case of a tentorial dural AVF which caused left hemisensory disturbance not by venous congestion, but by a compression of the midbrain by the dilated draining vein, because SPECT showed no laterality. In this case, magnetic resonance angiogram, 3-dimensional CT angiography, and SPECT were useful in the diagnosis and planning the strategy for treatment. SN - 0090-3019 UR - https://www.unboundmedicine.com/medline/citation/16630920/Tentorial_dural_arteriovenous_fistula_presenting_symptoms_due_to_mass_effect_on_the_dilated_draining_vein:_case_report_ DB - PRIME DP - Unbound Medicine ER -