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.

Modality: 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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