Combined neurosurgical and neuroradiological treatment of a complex superior sagittal sinus dural fistula: technical note

Neurosurgery
L PierotM Dupuy

Abstract

Dural arteriovenous fistulas of the superior sagittal sinus (SSS) account for 8% of intracranial dural fistulas. Their association with a thrombosis of the posterior part of the SSS is rare. In such cases, the usual neurosurgical and endovascular approaches cannot provide a good technical solution for treatment of the lesion, and a combined neurosurgical and neuroradiological approach is therefore needed. A 68-year-old man presented with rapidly evolving dementia. Cerebral angiography revealed a dural arteriovenous fistula of the SSS associated with thrombosis of the posterior part of the SSS. Various endovascular and neurosurgical approaches failed to cure the fistula. A burr hole was drilled in the frontal region, in the neurosurgical room. The patient was then transferred to the angiographic room, and the SSS was occluded using free spirals. This procedure led to a complete anatomic cure of the fistula, and a slow clinical improvement was observed.

References

Jan 1, 1968·Radiology·T H NewtonT Greitz

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Citations

Oct 21, 2003·British Journal of Neurosurgery·J LinK W Fraser
Jan 7, 2005·Neurosurgical Focus·Francisco A PonceRobert F Spetzler
Sep 30, 2008·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·S ToyotaT Yoshimine
Sep 11, 2012·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·N OharaA Wakayama
Aug 21, 2002·Journal of Neurosurgery·Emmanuel HoudartJean-Jacques Merland
Feb 26, 2008·Neurologia Medico-chirurgica·Satoshi TsutsumiAsako Yoritaka
Jun 5, 2012·Journal of Neurointerventional Surgery·Yuichi MurayamaToshiaki Abe
Jun 3, 2009·Journal of Neurosurgery. Pediatrics·R Webster CrowleyAaron S Dumont
Mar 26, 2013·Journal of Neurointerventional Surgery·Alejandro M SpiottaAquilla S Turk
Dec 19, 2020·Journal of Cerebrovascular and Endovascular Neurosurgery·Chang Hyeun KimGeun Sung Song

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