Skip to main content
. 2023 Oct 30;6(18):CASE23492. doi: 10.3171/CASE23492

TABLE 1.

Cases of intraosseous clival arteriovenous fistulae

Authors & Year Age (yrs), Sex Side Symptoms Another AVF Feeders Drainers Treatment Outcome
Chen et al., 20017
59, F
Lt
Pulsatile tinnitus & headache, sudden onset of diplopia & lt proptosis
––
Bilat APA, VA
CS, superior petrosal sinus, & cortical vein
Incomplete endovascular treatment & radiation
Symptoms improved
65, F
Rt
Pulsatile tinnitus, headache & neck pain, diplopia
Foramen magnum
Bilat APA, VA, rt MHT
CS, IPS, cortical vein. drainage, jugular vein, & suboccipital cervical vein
Incomplete endovascular treatment
Lost to FU & died of cerebellar hemorrhage 1 yr later
Jung et al., 20096


Diplopia & ptosis
Ipsilat CS

CS, IPS, jugular bulb
TVE
Complete occlusion for clival AVF, residual weak shunt of DAVF in ipsilat CS remained
Hiramatsu et al., 20211
77, F
Rt
Double vision due to rt oculomotor nerve palsy

Bilat IMA
CS & SMCV
TVE via IPS & CS
Complete occlusion
Hirata et al., 20213
69, M
Rt
Pulsatile tinnitus
Rt PCC
Rt IMA, rt petrosal branch of MMA, OA, bilat MHT, anterior meningeal artery
Deep cervical vein & IJV through intraosseous vein in jugular tubercle
TVE of PCC, TAE of OA
Pulsatile tinnitus gone, complete occlusion
Present case 79, F Rt Lt proptosis & diplopia due to lt oculomotor nerve palsy, lt visual impairment, & rt eye & facial pain Lt CS DAVF Rt MMA, AMA, deep temporal artery, AFR, MHT, APA Suboccipital CS through intraosseous vein, ACV, & PCV TVE via PCC Symptoms improved, complete occlusion

AFR = artery of foramen rotundum; AMA = accessory meningeal artery; APA = ascending pharyngeal artery; FU = follow-up; IMA = internal maxillary artery; MHT = meningohypophyseal artery; MMA = middle meningeal artery; OA = occipital artery; PCC = posterior condylar canal; SMCV = superficial middle cerebral vein; VA = vertebral artery; TAE = transarterial embolization.