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. 2010 Dec 17;16(4):409–419. doi: 10.1177/159101991001600407

Table 1.

Patient profiles

Patient Number 1 2 3

age/sex 60/F 73/F 64/M

Chief complaint Difficulty in conversation
Aprophoria
Bilateral conjunctival
hyperemia
General tonic convulsion
Small hemorrhage on right
temporal lobe

Shunt area Torcular Hemophili -left
transverse -sigmoid sinus
Bilateral cavernous sinuses Right transverse -signmoid
sinus

Classification Cognard type II a+b
Lalwani grade 3
Cognard type II a+b
Barrow type D
Cognard type II a+b
Lalwani grade 3

Feeding arteries Bilateral occipital arteries
Left posterior auricular ar-
tery
Left middle meningeal ar-
tery
Left accessory meningeal
artery
Bilateral ascending
pharyngeal arteries
Bilateral middle
meningeal arteries
Bilateral
meningohypophyseal
arteries
Bilateral occipital arteries
Right posterior auricular
artery
Right middle meningeal
artery
Left ascending pharyngeal
artery

Draining course









Treatment


Outcome
Left superior petrosal
-cavernous sinus
-cortical vein (retrograde)

Left Labbe's vein
(retrograde)

Right transverse
-sigmoid sinus (antegrade)

Transcatheter arterial em-
bolization

Improvement on MAIS-III
test
bilateral superior
ophthalmic veins
(retrograde)
left inferior
ophthalmic veins
(retrograde)

Left uncal vein (retrograde)
Basilar plexus (antegrade)

Transcatheter sinus coil
embolization

Improvement in conjuctival
hyperemia
Right cerebellar
hemispheric veins
(retrograde)
Temporo -parieto
-occipital cortical veins
(retrograde)
Superior sagittal -left trans-
verse
-sigmoid sinus (antegrade)
Straight-left transverse
-sigmoid sinus (antegrade)
Transcatheter arterial
embolization and sinus coil
embolization
No recurrence of
convulsion

Period of
ASL imaging
acquisition
39th day before treatment
8POD*
112POD
11th day before treatment
20POD
120POD
19th day before treatment
19POD

*POD: postoperative day