Multidisciplinary treatment of a large cerebral dural arteriovenous fistula using embolization, surgery, and radiosurgery.
Dural arteriovenous fistulae are rare lesions composed of abnormal connections between meningeal arteries and the dural sinuses or lepto-meningeal veins. Treatment is challenging because of the small size and wide distribution of the myriad sites of fistulous connection. We present a case of a dural arteriovenous fistula presenting with visual deterioration, pulsatile tinnitus, and intracranial hypertension that was successfully treated with a multidisciplinary approach combining angiographic, surgical, and radiosurgical intervention. This is one of the largest of these formidable lesions treated in this fashion that has been reported.
Giller
Cole A
CA
Baylor Radiosurgery Center, Baylor University Medical Center, Dallas, Texas, USA. ColeG@BaylorHealth.edu
Barnett
David W
DW
Thacker
Ike C
IC
Hise
Joseph H
JH
Berger
Brian D
BD