Korean J Cerebrovasc Surg.  2011 Jun;13(2):70-74.

Surgical Management of Dural Arteriovenous Fistula of The Anterior Cranial Fossa: Case Report

• Heo W
• Park IS
• Lee CH
• Han JW

Abstract

OBJECTIVE
A dural arteriovenous fistula (DAVF) of the anterior cranial fossa is rare. We report a case of a DAVF of the anterior cranial fossa which was treated surgically, following endovascular treatment failure.
METHODS
& RESULTS: The subject was a 53-year-old male with a headache caused by a hematoma in the right frontal lobe. A vascular abnormality of the anterior cranial fossa was suspected on brain computed tomographic angiography. The subsequent transfemoral cerebral angiography revealed that the AVF of the anterior cranial fossa was mainly fed by the left anterior ethmoidal artery. Endovascular therapy using N-butyl cyanoacrylate was attempted. However, the procedure failed to occlude the fistula due to the existing feeding artery (the right anterior ethmoidal artery). Consequently, a surgical approach was undertaken and the lesion was successfully obliterated.
CONCLUSION
We report a rare case of an intracerebral hematoma caused by a DAVF, which was successfully managed surgically following, endovascular treatment failure.

Keyword

Arteriovenous fistula; Dural; Anterior cranial fossa; Surgical procedures; Embolization; Cerebral hemorrhage

MeSH Terms

Angiography
Arteries
Arteriovenous Fistula
Brain
Central Nervous System Vascular Malformations
Cerebral Angiography
Cerebral Hemorrhage
Cranial Fossa, Anterior
Cyanoacrylates
Fistula
Frontal Lobe
Headache
Hematoma
Humans
Male
Middle Aged
Treatment Failure
Cyanoacrylates