Cognard Grade IV Tentorial Dural Arteriovenous Fistula Presenting as Trigeminal Neuralgia: Endovascular Management.
Tentorial dural arteriovenous fistula
Trigeminal neuralgia
Journal
World neurosurgery
ISSN: 1878-8769
Titre abrégé: World Neurosurg
Pays: United States
ID NLM: 101528275
Informations de publication
Date de publication:
12 2020
12 2020
Historique:
received:
16
06
2020
revised:
15
08
2020
accepted:
16
08
2020
pubmed:
23
8
2020
medline:
18
5
2021
entrez:
23
8
2020
Statut:
ppublish
Résumé
Tentorial dural arteriovenous fistulas have an increased risk of rupture and hemorrhage, and therefore require urgent treatment to occlude the fistula and proximal venous drainage. This is usually accomplished via endovascular treatment. We present a case of a Cognard grade IV dural arteriovenous fistula that presented as trigeminal neuralgia. This video showcases the angiographic vascular composition of the lesion with main feeders coming from the middle meningeal artery and the tentorial artery of Bernasconi and Cassinari. Details, benefits, and risks of the procedure were thoroughly discussed with the patient and consent was obtained prior to the procedure. We performed endovascular Onyx embolization through a distal branch of the right middle meningeal artery. We were able to successfully occlude the lesion using Onyx embolization and the patient had significant improvement of her pretreatment trigeminal neuralgia.
Identifiants
pubmed: 32827746
pii: S1878-8750(20)31888-X
doi: 10.1016/j.wneu.2020.08.119
pii:
doi:
Substances chimiques
Onyx copolymer
0
Polyvinyls
0
Dimethyl Sulfoxide
YOW8V9698H
Types de publication
Case Reports
Video-Audio Media
Langues
eng
Sous-ensembles de citation
IM
Pagination
184Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.