Combined surgical and endovascular treatment of a spontaneous diploic arteriovenous fistula. Case report.

Publisher: American Association of Neurological Surgeons Country of Publication: United States NLM ID: 0253357 Publication Model: Print Cited Medium: Print ISSN: 0022-3085 (Print) Linking ISSN: 00223085 NLM ISO Abbreviation: J Neurosurg Subsets: MEDLINE

Publication: Charlottesville, VA : American Association of Neurological Surgeons
Original Publication: Chicago [etc.]

Embolization, Therapeutic*; Arteriovenous Fistula/*therapy ; Meningeal Arteries/*pathology ; Parietal Bone/*blood supply ; Parietal Bone/*pathology ; Temporal Arteries/*pathology; Adult ; Arteriovenous Fistula/diagnostic imaging ; Arteriovenous Fistula/pathology ; Combined Modality Therapy ; Female ; Humans ; Meningeal Arteries/diagnostic imaging ; Meningeal Arteries/surgery ; Parietal Bone/surgery ; Radiography ; Temporal Arteries/diagnostic imaging ; Temporal Arteries/surgery

The authors report on the case of a 28-year-old woman presenting with an intraosseous arteriovenous fistula (AVF) located in the left parietal bone. The fistula was formed by direct arteriovenous shunts connecting branches of the left middle meningeal and superficial temporal arteries with a parietal diploic vein. Drainage occurred through both the external and internal jugular venous systems. Therapy consisted of combined surgical and endovascular approaches. The results of a pathological examination of the resected AVF showed mild enlargement of the diploic space. The angiographic appearance, pathological anatomy, and treatment of this rare lesion are discussed, as is a possible relationship between diploic AVFs and the development of aneurysm bone cysts.

Date Created: 20050827 Date Completed: 20050920 Latest Revision: 20161124

20240829

10.3171/jns.2005.103.1.0179

16121990