EURORAD ESR

Case 9604

Intracranial Dural Arterio-Venous Fistula fed from a Persistent Right Trigeminal Artery.

Author(s)
Aruna S. Pallewatte,
Thushara Muthunayake

NATIONAL HOSPITAL OF SRI LANKA, RADIOLOGY; SRIYANI, ORUTHOTA 11000 GAMPAHA, Sri Lanka; Email:asp31263@hotmail.com
 
Patient
male, 29 year(s)
 
 
  • Figure 1
    Fig 1
     

    Contrast enhanced CT scan of brain showing prominent right transverse, straight sinus and vein of Galen.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: Catheter arteriography; Procedure: Diagnostic procedure; Special Focus: Arteriovenous malformations;

    Contrast enhanced CT scan of brain showing prominent right transverse, straight sinus and vein of Galen.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: Catheter arteriography; Procedure: Diagnostic procedure; Special Focus: Arteriovenous malformations;
     
     
  • Figure 2
    Fig 2

    Cerebral digitally subtracted angiography (DSA) demonstrating right sided prominent persisting trigeminal artery and its communication with the right transverse sinus via multiple vascular channels.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: Catheter arteriography; Procedure: Diagnostic procedure; Special Focus: Arteriovenous malformations;
     
     
  • Figure 3
    Fig 3

    Cerebral DSA showing early filling of dilated right sided transverse and sigmoid sinuses , prominent and tortuous superficial cortical veins with retrograde flow pattern.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: Catheter arteriography; Procedure: Diagnostic procedure; Special Focus: Arteriovenous malformations;
     
     
  • Figure 4
    fig 4

    Cerebral DSA reveals right sided prominent right anterior inferior cerebellar artery and posterior inferior cerebellar artery communicating with transverse sinus via abnormal meningial branches.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: Catheter arteriography; Procedure: Diagnostic procedure; Special Focus: Arteriovenous malformations;
     
     
  • Figure 5
    Fig 5

    Selective catheterisation of right occipital and posterior auricular artery demonstrates connection between the meningial arterial branches and the right transverse sinus.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: Catheter arteriography; Procedure: Diagnostic procedure; Special Focus: Arteriovenous malformations;
     
     
Contrast enhanced CT scan of brain showing prominent right transverse, straight sinus and vein of Galen.
 
Contrast enhanced CT scan of brain showing prominent right transverse, straight sinus and vein of Galen.
 
Cerebral digitally subtracted angiography (DSA) demonstrating right sided prominent persisting trigeminal artery and its communication with the right transverse sinus via multiple vascular channels.
 
Cerebral DSA showing early filling of dilated right sided transverse and sigmoid sinuses , prominent and tortuous superficial cortical veins with retrograde flow pattern.
 
Cerebral DSA reveals right sided prominent right anterior inferior cerebellar artery and posterior inferior cerebellar artery communicating with transverse sinus via abnormal meningial branches.
 
Selective catheterisation of right occipital and posterior auricular artery demonstrates connection between the meningial arterial branches and the right transverse sinus.
 
 
 
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