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Embolization of dural arteriovenous fistulas draining into the transverse or sigmoid sinus

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  • Neuroradiology
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Abstract

The results of embolisation of dural arteriovenous fistulas draining into the transverse or sigmoid sinus were evaluated in 20 patients. Tinnitus was the main symptom in all patients although one also suffered from vertigo and sudden deafness. Nine patients were treated with PVA (polyvinylalcohol) alone and 11 with combined PVA and bucrylate (isobutyl-2-cyanoacrylate) in 1–9 procedures. Recurrence of symptoms, requiring repeated procedures was common but at subsequent clinical follow up 10 patients had no tinnitus, 5 were improved and only 5 experienced no change. Complications occured in six patients: four had transient neurological symptoms and one of these also developed a necrotic wound which later healed. One patient suffered from a cranial nerve palsy and one had an intracranial haemorrhage after a transvenous embolisation. This last patient recovered completely. The best clinical results were achieved in small fistulas and fistulas treated with combined bucrylate and PVA.

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  1. Department of Radiology, Sahlgrenska Sjukhuset, S-413 45, Göteborg, Sweden

    B. Berthelsen

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  1. B. Berthelsen
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Berthelsen, B. Embolization of dural arteriovenous fistulas draining into the transverse or sigmoid sinus. Eur. Radiol. 2, 452–458 (1992). https://doi.org/10.1007/BF00176353

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