Spontaneous pial single-channel arteriovenous fistulae with angiographically occult small feeding arteries: case report.
BACKGROUND
Pial single-channel arteriovenous (AV) fistulae are usually cured by interrupting only the feeding arteries identified in cerebral angiography.


METHODS
A 27-year-old woman presented after 3 complex partial seizures due to a pial single-channel AV fistula with the varix located in the right temporal lobe. When all feeding arteries identified by preoperative cerebral angiography were temporarily occluded, varix blood flow was confirmed with Doppler ultrasonography. Many small feeding arteries were identified, and the varix was dissected and removed. The postoperative course was uneventful and postoperative cerebral angiography revealed no abnormal vascular lesions.


CONCLUSIONS
Pial single-channel AV fistulae are not always cured by interrupting only the feeding arteries identified in cerebral angiography and might require varix removal.
Kakino
Shunsuke
S
Department of Neurosurgery, Iwate Medical University School of Medicine, Morioka, Iwate 020-8505, Japan. skakino@iwate-med.ac.jp
Ogasawara
Kuniaki
K
Kubo
Yoshitaka
Y
Ogawa
Akira
A
D000328:Adult; D005260:Female; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D010841:Pia Mater / Q000098:blood supply*; D014648:Varicose Veins / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*