TABLE 1.
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.