Table 1.
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 |