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J Korean Neurosurg Soc. 2011 Sep;50(3):260-263. English. Case Report.
Shim JH , Yoon SM , Shim JJ , Kim RS .
Department of Neurosurgery, Soonchunhyang University Cheonan Hospital, Cheonan, Korea. smyoon@sch.ac.kr
Department of Neurosurgery, Soonchunhyang University Gumi Hospital, Gumi, Korea.
Abstract

Intracranial dural arteriovenous fistulas (DAVFs) are abnormal arteriovenous connections that lie within the dura. Intraosseous DAVFs involving diploic venous system are extremely rare. A 46-year-old woman presented with headache and right pulsatile tinnitus for three weeks. The tinnitus started after yelling. Digital subtraction angiography revealed DAVF within the basal portion of right parietal bone along the middle meningeal artery (MMA) groove. The fistula was fed by frontal branch of right MMA and drained into right transverse sigmoid sinus junction through dilated middle meningeal vein. The intraosseous DAVF involving diploic vein was successfully obliterated with Onyx embolization via transarterial route.

Copyright © 2019. Korean Association of Medical Journal Editors.