This article describes the successful endovascular treatment of a dural arteriovenous fistula of a rare localization (the area of sphenoid bone lesser region). We examine one report of an unusually located dural arteriovenous fistula successfully treated with Onyx (ev3, Irvine, USA) using a combination of endovascular adjuvant techniques: pressure cooker and remodeling balloon protection of cerebral artery. The article includes previously published observations of such fistulas and discusses anatomic features and venous drainage of dural arteriovenous fistulas in the given location.
CognardCGobinYPPierotLet al.Cerebral dural arteriovenous fistulas: Clinical and angiographic correlation with a revised classification of venous drainage. Radiology1995; 194: 671–680.
2.
BitohSAritaNFujiwaraMet al.Dural arteriovenous malformation near the left sphenoparietal sinus. Surg Neurol1980; 13: 345–349.
3.
TsutsumiKShiokawaYKubotaMet al.Postoperative arteriovenous fistula between the middle meningeal artery and sphenoparietal sinus. Neurosurgery1990; 26: 869–870.
4.
EzuraMTakahashiAMizoiK. Dural arteriovenous shunts involving the sphenoparietal sinus. A case report. Interv Neuroradiol1996; 2: 223–228.
5.
San Millán RuízDRuízDFaselJHet al.The sphenoparietal sinus of breschet: Does it exist? An anatomic study. AJNR Am J Neuroradiol2004; 25: 112–120.
6.
RezendeMTPiotinMMounayerCet al.Dural arteriovenous fistula of the lesser sphenoid wing region treated with Onyx: Technical note. Neuroradiology2006; 48: 130–134.
7.
KhadaviNMManciniRNakraTet al.Rare dural arteriovenous fistula of the lesser sphenoid wing sinus. Ophthal Plast Reconstr Surg2009; 25: 404–406.
8.
TanakaTKatoNAraiTet al.Surgical treatment of a sylvian-middle fossa dural arteriovenous fistula draining into the basal vein of Rosenthal with frontotemporal craniotomy. J Stroke Cerebrovasc Dis2012; 21: 333–337.
9.
ShiZSZieglerJFengLet al.Middle cranial fossa sphenoidal region dural arteriovenous fistulas: Anatomic and treatment considerations. AJNR Am J Neuroradiol2013; 34: 373–380.
10.
FukudaHMiyakeKKuniedaTet al.Endovascular treatment of sphenoid wing dural arteriovenous fistula with pure cortical venous drainage. J Stroke Cerebrovasc Dis2014; 23: 1730–1735.
11.
WatanabeJMaruyaJNishimakiK. Surgical treatment of a dural arteriovenous fistula in the sphenoid wing with unique drainage pattern through the basal vein of Rosenthal. NMC Case Rep J2015; 2: 88–92.
12.
MurakamiTNakamuraHNishidaTet al.Transarterial sinus embolization for a dural arteriovenous fistula in a sinus of the lesser sphenoid wing: A case report. NMC Case Rep J2017; 4: 47–50.
13.
NakajimaHIshiguroTTeradaAet al.Dural arteriovenous fistula of the sinus of the lesser sphenoid wing presenting with pontine hemorrhage. World Neurosurg2017; 98: 871.e17–871.e21.
14.
OsbunJWKimLJSpetzlerRFet al.Aberrant venous drainage pattern in a medial sphenoid wing dural arteriovenous fistula: A case report and review of the literature. World Neurosurg2013; 80: e381–6.
15.
Breschet G (1892) Recherches anatomiques, physiologiques sur le systeme veineux et specialement sur les canaux veineux des os. Villeret et Rouen, Paris, p. 1–42.
16.
TrolardP. Les veines meninges moyennes. Rev Sci Biol1890, pp. 485–499.
17.
SuzukiYMatsumotoK. Variations of the superficial middle cerebral vein: Classification using three-dimensional CT angiography. AJNR Am J Neuroradiol2000; 21: 932–938.
18.
TanoueSKiyosueHOkaharaMet al.Para-cavernous sinus venous structures: Anatomic variations and pathologic conditions evaluated on fat-suppressed 3D fast gradient-echo MR images. AJNR Am J Neuroradiol2006; 27: 1083–1089.
19.
LvXJiangCLiYet al.The laterocavernous sinus system: Venous inflows, venous outflows, and clinical significance. World Neurosurg2011; 75: 90–93; discussion 34–35.
20.
GailloudPSan Millán RuízDMusterMet al.Angiographic anatomy of the laterocavernous sinus. AJNR Am J Neuroradiol2000; 21: 1923–1929.
21.
SuzukiYIkedaHShimaduMet al.Variations of the basal vein: Identification using three-dimensional CT angiography. AJNR Am J Neuroradiol2001; 22: 670–676.
22.
ChapotRStrackePVelascoAet al.The pressure cooker technique for the treatment of brain AVMs. J. Neuroradiol2014; 41: 87–91.
