Cargando…
Superior sagittal sinus dural arteriovenous fistula with changes in angiographic findings associated with contiguous parasagittal meningioma: A case report
BACKGROUND: Meningioma and dural arteriovenous fistula (dAVF) located at the same site are rare. The present case demonstrated the transformation of tumor feeding vessels into the pial feeder of the dAVF over time, which may help to elucidate the pathogenesis of tumor-associated dAVF. CASE DESCRIPTI...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Scientific Scholar
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9282788/ https://www.ncbi.nlm.nih.gov/pubmed/35855145 http://dx.doi.org/10.25259/SNI_95_2022 |
_version_ | 1784747185916608512 |
---|---|
author | Nakazawa, Takahiko Aihara, Masanori Mizuno, Hiroyuki Yamaguchi, Rei Yoshimoto, Yuhei |
author_facet | Nakazawa, Takahiko Aihara, Masanori Mizuno, Hiroyuki Yamaguchi, Rei Yoshimoto, Yuhei |
author_sort | Nakazawa, Takahiko |
collection | PubMed |
description | BACKGROUND: Meningioma and dural arteriovenous fistula (dAVF) located at the same site are rare. The present case demonstrated the transformation of tumor feeding vessels into the pial feeder of the dAVF over time, which may help to elucidate the pathogenesis of tumor-associated dAVF. CASE DESCRIPTION: A 71-year-old man presented with convulsion. Magnetic resonance (MR) imaging showed a right parasagittal sinus meningioma invading the superior sagittal sinus (SSS). Bilateral external carotid angiography showed dAVF at the SSS, near the site of tumor invasion. The right internal carotid angiography showed tumor staining from the anterior cerebral artery with intra-tumor arteriovenous shunting, with stagnation of tumor blood flow, suggesting impairment of perfusion to the SSS. Four years after the initial diagnosis, the patient was admitted to hospital with status epilepticus, and MR imaging showed an enlarged tumor. Carotid angiography revealed transformation of the tumor feeders to the pial feeder of the dAVF. The findings of shunting to the SSS had intensified, and stenosis had occurred in the posterior third of the SSS. The venous return showed retrograde flow anteriorly to the SSS. The patient underwent endovascular embolization and tumor resection. The shunt had disappeared. CONCLUSION: This report supports the proposal that impaired venous return is an important factor in the shunt occurrence of dAVF. Neurosurgeons should consider that cases of meningioma invading the venous sinuses may be complicated by dAVF and changes may occur over time. |
format | Online Article Text |
id | pubmed-9282788 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Scientific Scholar |
record_format | MEDLINE/PubMed |
spelling | pubmed-92827882022-07-18 Superior sagittal sinus dural arteriovenous fistula with changes in angiographic findings associated with contiguous parasagittal meningioma: A case report Nakazawa, Takahiko Aihara, Masanori Mizuno, Hiroyuki Yamaguchi, Rei Yoshimoto, Yuhei Surg Neurol Int Case Report BACKGROUND: Meningioma and dural arteriovenous fistula (dAVF) located at the same site are rare. The present case demonstrated the transformation of tumor feeding vessels into the pial feeder of the dAVF over time, which may help to elucidate the pathogenesis of tumor-associated dAVF. CASE DESCRIPTION: A 71-year-old man presented with convulsion. Magnetic resonance (MR) imaging showed a right parasagittal sinus meningioma invading the superior sagittal sinus (SSS). Bilateral external carotid angiography showed dAVF at the SSS, near the site of tumor invasion. The right internal carotid angiography showed tumor staining from the anterior cerebral artery with intra-tumor arteriovenous shunting, with stagnation of tumor blood flow, suggesting impairment of perfusion to the SSS. Four years after the initial diagnosis, the patient was admitted to hospital with status epilepticus, and MR imaging showed an enlarged tumor. Carotid angiography revealed transformation of the tumor feeders to the pial feeder of the dAVF. The findings of shunting to the SSS had intensified, and stenosis had occurred in the posterior third of the SSS. The venous return showed retrograde flow anteriorly to the SSS. The patient underwent endovascular embolization and tumor resection. The shunt had disappeared. CONCLUSION: This report supports the proposal that impaired venous return is an important factor in the shunt occurrence of dAVF. Neurosurgeons should consider that cases of meningioma invading the venous sinuses may be complicated by dAVF and changes may occur over time. Scientific Scholar 2022-06-23 /pmc/articles/PMC9282788/ /pubmed/35855145 http://dx.doi.org/10.25259/SNI_95_2022 Text en Copyright: © 2022 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Nakazawa, Takahiko Aihara, Masanori Mizuno, Hiroyuki Yamaguchi, Rei Yoshimoto, Yuhei Superior sagittal sinus dural arteriovenous fistula with changes in angiographic findings associated with contiguous parasagittal meningioma: A case report |
title | Superior sagittal sinus dural arteriovenous fistula with changes in angiographic findings associated with contiguous parasagittal meningioma: A case report |
title_full | Superior sagittal sinus dural arteriovenous fistula with changes in angiographic findings associated with contiguous parasagittal meningioma: A case report |
title_fullStr | Superior sagittal sinus dural arteriovenous fistula with changes in angiographic findings associated with contiguous parasagittal meningioma: A case report |
title_full_unstemmed | Superior sagittal sinus dural arteriovenous fistula with changes in angiographic findings associated with contiguous parasagittal meningioma: A case report |
title_short | Superior sagittal sinus dural arteriovenous fistula with changes in angiographic findings associated with contiguous parasagittal meningioma: A case report |
title_sort | superior sagittal sinus dural arteriovenous fistula with changes in angiographic findings associated with contiguous parasagittal meningioma: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9282788/ https://www.ncbi.nlm.nih.gov/pubmed/35855145 http://dx.doi.org/10.25259/SNI_95_2022 |
work_keys_str_mv | AT nakazawatakahiko superiorsagittalsinusduralarteriovenousfistulawithchangesinangiographicfindingsassociatedwithcontiguousparasagittalmeningiomaacasereport AT aiharamasanori superiorsagittalsinusduralarteriovenousfistulawithchangesinangiographicfindingsassociatedwithcontiguousparasagittalmeningiomaacasereport AT mizunohiroyuki superiorsagittalsinusduralarteriovenousfistulawithchangesinangiographicfindingsassociatedwithcontiguousparasagittalmeningiomaacasereport AT yamaguchirei superiorsagittalsinusduralarteriovenousfistulawithchangesinangiographicfindingsassociatedwithcontiguousparasagittalmeningiomaacasereport AT yoshimotoyuhei superiorsagittalsinusduralarteriovenousfistulawithchangesinangiographicfindingsassociatedwithcontiguousparasagittalmeningiomaacasereport |