Pontine venous congestion due to dural arteriovenous fistula of the cavernous sinus: Case report and review of the literature
Open Access
- 1 January 2012
- journal article
- review article
- Published by Scientific Scholar in Surgical Neurology International
- Vol. 3 (1), 53
- https://doi.org/10.4103/2152-7806.96076
Abstract
Background: We report herein a case of cavernous sinus (CS)-dural arteriovenous fistula (DAVF) with brainstem venous congestion that was successfully treated by transarterial embolization, followed by radiotherapy. Case Description: An 80-year-old woman presented with right eye chemosis and left hemiparesis. T2-weighted magnetic resonance imaging showed hyperintensity of the pons. Diagnostic cerebral angiography demonstrated CS-DAVF draining into the right superior orbital vein and petrosal vein, and fed by bilateral internal and external carotid arteries. Transarterial embolization was performed and followed by radiotherapy, resulting in resolution of the pontine lesion and neurological and ophthalmological symptoms within 5 months.Conclusions: We also review the literature regarding therapy for CS-DAVF with brainstem venous congestion. Once CS-DAVF with venous congestion of the brainstem has been definitively diagnosed, immediate therapy is warranted. Treatment with transarterial embolization followed by radiation may be an important option for elderly patients when transvenous or transarterial embolization is not an option.Keywords
This publication has 12 references indexed in Scilit:
- Treatment of dural arteriovenous fistula using ethylene vinyl alcohol (Onyx) arterial embolization as the primary modality: short-term resultsJournal of Neurosurgery, 2007
- Article--Diagnosis and management of dural carotid–cavernous sinus fistulasNeurosurgical Focus, 2007
- Cavernous sinus dural arteriovenous fistula complicated by pontine venous congestion. A case reportSurgical Neurology, 2006
- New Concept in Cavernous Sinus Dural Arteriovenous FistulaStroke, 2005
- Brain stem venous congestion due to dural arteriovenous fistulas of the cavernous sinusActa Neurochirurgica, 2004
- [Cavernous sinus dural arteriovenous fistula complicated by edematous cerebral lesions from venous etiology].2004
- Carotid-cavernous fistula with brainstem congestion mimicking tumor on MRINeurology, 2000
- Type D Dural Carotid—Cavernous FistulaActa Radiologica, 1996
- Cerebral dural arteriovenous fistulas: clinical and angiographic correlation with a revised classification of venous drainage.Radiology, 1995
- Brain-stem venous congestion due to a dural arteriovenous fistula in the posterior fossaZeitschrift für Neurologie, 1993