title: Arterialization of cerebral veins on dynamic MDCT angiography: a possible sign of a dural arteriovenous fistula.
abstract: OBJECTIVE
  MDCT angiography allows fast imaging of the cerebral vessels, and its potential as a noninvasive technique to detect vascular abnormalities on the basis of morphologic changes is well established. We analyzed vascular enhancement patterns of cerebral venous structures on MDCT angiography, which enabled us to diagnose dural arteriovenous fistula.
  
  
  CONCLUSIONS
  MDCT angiography performed during an early arterial phase showed asymmetrically higher contrast intensity in the transverse or sigmoid sinus, or both, in five patients. In all patients, digital subtraction angiography confirmed the presence of a dural arteriovenous fistula on the side on which the higher contrast intensity appeared. Radiologists should actively look for this sign in the imaging workup of patients presenting with nonspecific symptoms that might be related to a dural arteriovenous fistula.
authors.affiliation: Division of Neuroradiology, Department of Radiology, University Hospital Basel, Petersgraben 4, Basel CH-4031, Switzerland. meckels@uhbs.ch
authors.forename: Stephan
authors.initials: S
authors.lastname: Meckel
authors.forename: Karl-Olof
authors.initials: KO
authors.lastname: Lovblad
authors.forename: German
authors.initials: G
authors.lastname: Abdo
authors.forename: Diego San Millan
authors.initials: DS
authors.lastname: Ruiz
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Delavelle
authors.forename: Ernst-Wilhelm
authors.initials: EW
authors.lastname: Radue
authors.forename: Daniel A
authors.initials: DA
authors.lastname: Ruefenacht
authors.forename: Stephan G
authors.initials: SG
authors.lastname: Wetzel
mesh_terms: D000368:Aged; D015901:Angiography, Digital Subtraction; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging*; D020785:Central Nervous System Vascular Malformations / Q000000981:diagnostic imaging*; D002533:Cerebral Angiography; D002550:Cerebral Veins / Q000000981:diagnostic imaging; D002560:Cerebrovascular Circulation; D004388:Dura Mater; D005260:Female; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed