Multimodality evaluation of dural arteriovenous fistula with CT angiography, MR with arterial spin labeling, and digital subtraction angiography: case report

J Neuroimaging. 2014 Sep-Oct;24(5):520-3. doi: 10.1111/jon.12032. Epub 2013 Jun 7.

Abstract

Dural arteriovenous fistulae (DAVF) are cerebrovascular lesions with pathologic shunting into the venous system from arterial feeders. Digital subtraction angiography (DSA) has long been considered the gold standard for diagnosis, but advances in noninvasive imaging techniques now play a role in the diagnosis of these complex lesions. Herein, we describe the case of a patient with right-side pulsatile tinnitus and DAVF diagnosed using computed tomography angiography, magnetic resonance with arterial spin labeling, and DSA. Implications for imaging analysis of DAVFs and further research are discussed.

Keywords: Dural arteriovenous fistula; angiography; arterial spin labeling; magnetic resonance.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angiography, Digital Subtraction / methods*
  • Central Nervous System Vascular Malformations / diagnosis*
  • Cerebral Angiography / methods*
  • Cerebral Arteries / diagnostic imaging
  • Cerebral Arteries / pathology
  • Humans
  • Magnetic Resonance Angiography / methods*
  • Male
  • Multimodal Imaging / methods*
  • Tomography, X-Ray Computed / methods*