Dural arteriovenous fistula: anterior cranial fossa

Case contributed by A.Prof Frank Gaillard

Presentation

Adult patient presenting with sudden onset headache and decreased conscious state.

Patient Data

Age: adult

Large spontaneous SDH, seen crossing the fronto-parietal suture and extending along the falx. Significant mass effect is present with midline shift.

Subsequent CTA demonstrates abnormal vascular structures extra-axially along the floor of the anterior cranial fossa.

DSA (angiography)

Angiography revealed an anterior cranial fossa DAVF with supply from both ophthalmic arteries via ethmoidal branches. No ECA supply.

Case Discussion

A large cortical vein was identified at craniotomy for evacuation of the haemorrhage.

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Case information

rID: 4227
Case created: 30th Jul 2008
Last edited: 24th Jun 2016
Inclusion in quiz mode: Included

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