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Neurointervention 2007;2(2):117-121.
Transcranial Approach for Arterial Embolization of Dural Arteriovenous Fistula Within the Wall of the Superior Sagittal Sinus : A Case Report.
Jun Seok Koh, Chang Woo Ryu, Jae Seung Bang, Seung Whan Lee
1Department of Neurosurgery, Stroke and Neurological Disorders Centre, Kyung Hee University East-West Neo Medical Hospital, Seoul, Korea. neurokoh@hanmail.net
2Department of Imaging Medicine, Stroke and Neurological Disorders Centre, Kyung Hee University East-West Neo Medical Hospital, Seoul, Korea.
Abstract
We present a case of dural arteriovenous fistula (dAVF) within the wall of the superior sagittal sinus(SSS) presenting with chronic headache. Transfemoral arterial embolization was tried but failed because of tortuous middle meningeal artery (MMA) feeders preventing the microcatheter from reaching the fistula closely enough. A small craniectomy was performed to directly puncture the feeder close to the SSS, and then glue occlusion of the dAVF through the directly catheterized MMA was successfully accomplished.
Key Words: Dural arteriovenous fistula; Superior sagittal sinus; Craniectomy; Embolization


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