Dural AVF with Venous Aneurysm Causing Mass Effect: Management Strategy

  • Vipul GuptaEmail author


A 58-year-old male presented with progressively increasing headaches. CT scan revealed ventricular dilation (lateral and third ventricles) along with periventricular ooze. A hyperdense lesion was seen compressing upon dorsal midbrain (Fig. 63.1a, b). MRI brain revealed a large dilated vascular structure compressing upon the dorsal midbrain along with adjacent dilated vessels (Fig. 63.1c, d). It was causing compression of aqueduct with resultant hydrocephalus. DSA revealed a dural arteriovenous fistula fed by bilateral middle meningeal arteries (Fig. 63.1e, f). Aneurysmal dilation was seen in the draining vein. Trans-arterial onyx embolization was planned.

Suggested Reading

  1. Rammos S, Bortolotti C, Lanzino G. Endovascular management of intracranial dural arteriovenous fistulae. Neurosurg Clin N Am. 2014;25:539–49.CrossRefGoogle Scholar

Copyright information

© The Author(s) 2019

Authors and Affiliations

  1. 1.Neurointerventional Surgery, Stroke UnitArtemis Agrim Institute of NeuroscienceGurgaonIndia

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