[A case of bleeding dural arteriovenous fistula of the transverse-sigmoid sinus with pure leptomeningeal drainage, varix: case report].
We reported a case of bleeding from the varix of a transverse-sigmoid sinus dural arteriovenous fistula with pure leptomeningeal drainage. A 55-year-old man presented with visual disturbance. neurological examination revealed left homonymous hemianopsia. CT scans demonstrated a subcortical hemorrhage in the right occipital lobe. Right external carotid angiograms showed a dural arteriovenous fistula of the transverse-sigmoid sinus fed by middle meningeal arteries and the occipital artery. The draining vein was the cortical vein with a varix. Transverse and sigmoid sinuses were patent. We concluded that the cause of the subcortical hemorrhage was a varix of the dural arteriovenous fistula. Initially, we embolized the dural arteriovenous fistula using a transarterial approach with GDC. Additionally, we interrupted the draining vein of the dural arteriovenous malformation. Angiographic cure was obtained and the postoperative course was uneventful. We discussed the clinical features, and the management of this case.
Yoshida
Hidenori
H
Department of Neurosurgery, Fukuoka Tokushukai Hospital, 4-5 Suku-kita, Kasuga-city, Fukuoka 816-0864, Japan.
Kaneko
Yoshirou
Y
Ooasa
Takao
T
Ogasawara
Sadanobu
S
Uozumi
Youichi
Y
Kawano
Teruaki
T
Kawaguchi
Tsutomu
T
D001099:Arachnoid / Q000098:blood supply; D020785:Central Nervous System Vascular Malformations / Q000150:complications* / Q000628:therapy; D002543:Cerebral Hemorrhage / Q000209:etiology* / Q000628:therapy; D003392:Cranial Sinuses; D004322:Drainage; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D008875:Middle Aged; D010841:Pia Mater / Q000098:blood supply; D014648:Varicose Veins / Q000150:complications* / Q000628:therapy; D014680:Veins / Q000601:surgery