Dural Arteriovenous Fistula with Retrograde Drainage into the Cortical Veins (Case Report)
A. S. Filatov,
E. I. Kremneva,
R. N. Konovalov,
V. V. Sin’kova,
A. A. Lyaskovik,
A. O. Chechetkin,
L. A. Dobrynina,
M. V. Krotenkova https://doi.org/10.52560/2713-0118-2021-4-116-125
Abstract
We present clinical case of a patient who was referred for brain MRI to clarify the cause of a first-time seizure. MRI examination showed cortical and medullary veins ectasia in the left cerebral hemisphere with multiple cerebral microbleeds around the medullary veins. The revealed changes were considered as a manifestation of regional venous hypertension, however, its cause remained unclear. We decided to perform non-contrast 3D-TOF angiography that revealed a dural arteriovenous fistula between the left occipital artery and the sigmoid venous sinus with retrograde drainage into cortical veins (Borden type II, Cognard type IIb). Early diagnosis and treatment of «aggressive» dural arteriovenous fistulas avoids the development of lifethreatening complications (an annual hemorrhage rate of 8,1%).
About the Authors
A. S. Filatov
Research Center of Neurology
Russian Federation
Russian Federation
Filatov Alexey Sergeevich, Postgraduate, Radiologist of the Department of Neuroradiology
80, Volokolamskoe shosse, Moscow, 125367, Russia
Phone number: +7 (495) 490-22-05
E. I. Kremneva
Research Center of Neurology
Russian Federation
Russian Federation
Kremneva Elena Igorevna, Ph. D. Med., Senior Researcher of the Department of Neuroradiolog
80, Volokolamskoe shosse, Moscow, 125367, Russia
Phone number: +7 (495) 490-22-05
R. N. Konovalov
Research Center of Neurology
Russian Federation
Russian Federation
Konovalov Rodion Nikolaevich, Ph. D. Med., Senior Researcher of the Department of Neuroradiology
80, Volokolamskoe shosse, Moscow, 125367, Russia
Phone number: +7 (495) 490-22-05
V. V. Sin’kova
Research Center of Neurology
Russian Federation
Russian Federation
Sin’kova Viktoriya Viktorovna, Resident of the Department of Neuroradiology
80, Volokolamskoe shosse, Moscow, 125367, Russia
Phone number: +7 (495) 490-22-05
A. A. Lyaskovik
Research Center of Neurology
Russian Federation
Russian Federation
Lyaskovik Alina Anatol’evna, Resident of the Department of Neuroradiology
80, Volokolamskoe shosse, Moscow, 125367, Russia
Phone number: +7 (495) 490-22-05
A. O. Chechetkin
Research Center of Neurology
Russian Federation
Russian Federation
Chechetkin Andrey Olegovich, M. D. Med., Head of the Ultrasound Laboratory
80, Volokolamskoe shosse, Moscow, 125367, Russia
Phone number: +7 (495) 490-24-07
L. A. Dobrynina
Research Center of Neurology
Russian Federation
Russian Federation
Dobrynina Larisa Anatol’evna, M. D. Med., Head of the 3rd Neurology Department
80, Volokolamskoe shosse, Moscow, 125367, Russia
Phone number: +7 (495) 490-24-17
M. V. Krotenkova
Research Center of Neurology
Russian Federation
Russian Federation
Krotenkova Marina Viktorovna, M. D. Med., Head of the Department of Neuroradiology
80, Volokolamskoe shosse, Moscow, 125367, Russia
Phone number: +7 (495) 490-22-05
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Review
For citations:
Filatov A.S., Kremneva E.I., Konovalov R.N., Sin’kova V.V., Lyaskovik A.A., Chechetkin A.O., Dobrynina L.A., Krotenkova M.V. Dural Arteriovenous Fistula with Retrograde Drainage into the Cortical Veins (Case Report). Radiology - Practice. 2021;(4):116-125. (In Russ.) https://doi.org/10.52560/2713-0118-2021-4-116-125
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