J Korean Med Sci.  1999 Aug;14(4):465-468. 10.3346/jkms.1999.14.4.465.

Tentorial meningioma encroaching the transverse sinuses and sigmoid sinus junction area associated with dural arteriovenous fistulous malformation: a case report

Affiliations
  • 1Department of Neurosurgery, Korea University Hospital, College of Medicine, Korea University, Seoul. yongku@users.unitel.co.kr

Abstract

A 62-year-old woman was evaluated for tinnitis and headache. Magnetic resonance imaging and angiography revealed the coexistence of a tentorial tumor encroaching the junction of the right transverse-sigmoid sinuses, and dural arteriovenous fistulous malformation (AVFM) of the right transverse sinus. AVFM was not manipulated at all during the surgery. The pathology was fibroblastic meningioma. Postoperatively, the dural AVFM completely disappeared on follow-up angiography. The fistulas were occluded also after surgery, even though there was no manipulation of the AVFM. It is suggested that the right dominant transverse-sigmoid sinuses are partially occluded by tentorial meningioma, developing the dural arteriovenous fistula of the right transverse sinus. An acquired origin of the dural AVFM was suggested in this case.

Keyword

Meningioma; Arteriovenous malformations

MeSH Terms

Arteriovenous Malformations/diagnosis
Arteriovenous Malformations/complications*
Carotid Artery, External/pathology
Carotid Artery, Internal/pathology
Case Report
Cerebral Angiography
Dura Mater/pathology
Female
Human
Jugular Veins/pathology
Magnetic Resonance Imaging
Meningeal Neoplasms/diagnosis
Meningeal Neoplasms/complications*
Meningioma/diagnosis
Meningioma/complications*
Middle Age
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