Dural arteriovenous fistulas of the cavernous sinus with onset of intracerebral haemorrhage mimicking hypertensive putaminal hemorrhage.
We describe a patient with dural arteriovenous fistulas of the cavernous sinus (CS-dAVFs) who developed an intracerebral haemorrhage (ICH) mimicking hypertensive putaminal haemorrhage. Drainage into the superior ophthalmic vein (SOV) and inferior petrosal sinus (IPS) was not demonstrated on cerebral angiography, and only cortical venous reflux into the Sylvian vein was observed. In cases of venous drainage concentrated on the Sylvian vein, CS-dAVFs could indicate ICH with radiological appearance resembling putaminal haemorrhage.
Sakuma
I
I
Division of Radiology and Radiation Oncology, Department of Integrated Medicine, Akita University School of Medicine, Akita city, Japan. sakuma@doc.med.akita-u.ac.jp
Takahashi
S
S
Tomura
N
N
Kinouchi
H
H
D000368:Aged; D002426:Cavernous Sinus / Q000000981:diagnostic imaging / Q000473:pathology* / Q000503:physiopathology; D020785:Central Nervous System Vascular Malformations / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D002533:Cerebral Angiography; D002543:Cerebral Hemorrhage / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D002550:Cerebral Veins / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology; D003244:Consciousness Disorders / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D003392:Cranial Sinuses / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D020299:Intracranial Hemorrhage, Hypertensive / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D010291:Paresis / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D020146:Putaminal Hemorrhage / Q000175:diagnosis* / Q000503:physiopathology; D014057:Tomography, X-Ray Computed