Parallel transverse-sigmoid sinus harboring dural arteriovenous malformation. How to differentiate the pathological and normal sinus in order to treat and preserve patency and function

Acta Neurochir (Wien). 2010 Mar;152(3):523-7. doi: 10.1007/s00701-009-0423-1. Epub 2009 Jun 11.

Abstract

An unusual case of dural arteriovenous malformation (DAVM) harboring a parallel transverse-sigmoid sinus (TSS) is presented. The patient had a 2-year history of left-sided pulsatile tinnitus in the left ear refractory to medical management. Angiography demonstrated a DAVM involving the left TSS. Super-selective transvenous dural sinus occlusion of the DAVM situated at the pathological compartment of the TSS provided cure. We were able to spare the normal compartment providing anatomical venous drainage from this system.

Publication types

  • Case Reports

MeSH terms

  • Brain / blood supply
  • Central Nervous System Vascular Malformations / diagnostic imaging
  • Central Nervous System Vascular Malformations / pathology*
  • Central Nervous System Vascular Malformations / therapy
  • Cerebral Angiography
  • Cerebrovascular Circulation / physiology*
  • Clinical Protocols
  • Cranial Fossa, Posterior / abnormalities*
  • Cranial Fossa, Posterior / blood supply
  • Cranial Sinuses / abnormalities*
  • Cranial Sinuses / diagnostic imaging
  • Cranial Sinuses / pathology*
  • Diagnosis, Differential
  • Embolization, Therapeutic / methods
  • Female
  • Humans
  • Middle Aged
  • Prostheses and Implants
  • Prosthesis Implantation / methods
  • Tinnitus / etiology
  • Treatment Outcome