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Posterior fossa dural arteriovenous fistula presenting clinically as a carotid-cavernous fistula treated by a direct access cavernous sinus approach.
BMJ Case Rep. 2013 Dec 12; 2013BC

Abstract

Dural arteriovenous fistulas (dAVFs) represent approximately 10-15% of all cerebral vascular malformations. Although dAVFs can occur anywhere in the brain, they occur most frequently in the cavernous and transverse-sigmoid sinuses. Posterior fossa dAVFs presenting clinically as carotid-cavernous fistulae (CCF) are rarely encountered in clinical practice. We discuss and illustrate an unusual case of a left posterior fossa dAVF that presented clinically with chemosis and early visual impairment, similar to that of CCF. This was subsequently treated by a direct access cavernous sinus approach. We describe the technique used to access the cavernous sinus directly in cases where conventional transvenous and transarterial routes have been exhausted.

Authors+Show Affiliations

Department of Neuroradiology, National Neuroscience Institute, Singapore.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

24334466

Citation

Tan, Ai Peng, et al. "Posterior Fossa Dural Arteriovenous Fistula Presenting Clinically as a Carotid-cavernous Fistula Treated By a Direct Access Cavernous Sinus Approach." BMJ Case Reports, vol. 2013, 2013.
Tan AP, Taneja M, Hui F. Posterior fossa dural arteriovenous fistula presenting clinically as a carotid-cavernous fistula treated by a direct access cavernous sinus approach. BMJ Case Rep. 2013;2013.
Tan, A. P., Taneja, M., & Hui, F. (2013). Posterior fossa dural arteriovenous fistula presenting clinically as a carotid-cavernous fistula treated by a direct access cavernous sinus approach. BMJ Case Reports, 2013. https://doi.org/10.1136/bcr-2013-010939
Tan AP, Taneja M, Hui F. Posterior Fossa Dural Arteriovenous Fistula Presenting Clinically as a Carotid-cavernous Fistula Treated By a Direct Access Cavernous Sinus Approach. BMJ Case Rep. 2013 Dec 12;2013 PubMed PMID: 24334466.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Posterior fossa dural arteriovenous fistula presenting clinically as a carotid-cavernous fistula treated by a direct access cavernous sinus approach. AU - Tan,Ai Peng, AU - Taneja,Manish, AU - Hui,Francis, Y1 - 2013/12/12/ PY - 2013/12/17/entrez PY - 2013/12/18/pubmed PY - 2014/6/13/medline KW - Fistula KW - Posterior fossa KW - Technique KW - Vascular Malformation JF - BMJ case reports JO - BMJ Case Rep VL - 2013 N2 - Dural arteriovenous fistulas (dAVFs) represent approximately 10-15% of all cerebral vascular malformations. Although dAVFs can occur anywhere in the brain, they occur most frequently in the cavernous and transverse-sigmoid sinuses. Posterior fossa dAVFs presenting clinically as carotid-cavernous fistulae (CCF) are rarely encountered in clinical practice. We discuss and illustrate an unusual case of a left posterior fossa dAVF that presented clinically with chemosis and early visual impairment, similar to that of CCF. This was subsequently treated by a direct access cavernous sinus approach. We describe the technique used to access the cavernous sinus directly in cases where conventional transvenous and transarterial routes have been exhausted. SN - 1757-790X UR - https://www.unboundmedicine.com/medline/citation/24334466/Posterior_fossa_dural_arteriovenous_fistula_presenting_clinically_as_a_carotid_cavernous_fistula_treated_by_a_direct_access_cavernous_sinus_approach_ L2 - https://casereports.bmj.com/cgi/pmidlookup?view=long&pmid=24334466 DB - PRIME DP - Unbound Medicine ER -