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Abstract

A 53-year-old asymptomatic man underwent cranial MR imaging to rule out cerebrovascular disease. On T2-weighted axial images abnormal flow voids were detected at the right cavernous sinus, suggesting a dural carotid-cavernous fistula (CCF). On the MR angiogram, abnormal high intensity signals were observed at the right cavernous sinus and the left transverse-sigmoid (T-S) sinus, suggestive of coexisting right dural CCF and dural arteriovenous fistula (AVF) of the left T-S sinus. Selective cerebral angiography of the left external carotid artery revealed abnormal flow in the right cavernous sinus caused by the dural AVF of the left T-S sinus via the right inferior petrosal sinus due to occlusion of both the distal left sigmoid sinus and proximal right internal jugular vein.

Keywords

dural arteriovenous fistula dural carotid-cavernous fistula magnetic resonance angiography cerebral angiography

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References

Hirabuki

Miura

Mitomo

: MR imaging of dural arteriovenous malformations with ocular signs. Neuroradiology 30: 390–394, 1988.

Chen

Tsuruda

Halbach

: Suspected dural arteriovenous fistula: results with screening MR angiography in seven patients. Radiology 183: 265–271, 1992.

Cognard

Gobin

Pierot

: Cerebral dural arteriovenous fistulas: clinical and angiographic correlation with a revised classification of venous drainage. Radiology 194: 671–680, 1995.

Obrador

Soto

Silvela

: Clinical syndromes of arteriovenous malformations of the transverse-sigmoid sinus. J Neurol Neurosurg Psychiatry 38: 436–451, 1975.

Barnwell

Halbach

Dowd

: Dural arteriovenous fistulas involving the inferior petrosal sinus: angiographic findings in six patients. Am J Neuroradiol 11: 511–516, 1990.

Mironov

: Dural arteriovenous fistula of the inferior petrosal sinus producing contralateral exophthalmus. Neuroradiology 36: 619–621, 1994.

Hasuo

Matsumoto

Mihara

: Dural non-cavernous sinus arteriovenous fistulas symptomatically simulating spontaneous carotid-cavernous fistulas: an analysis of angiographic findings. Radiat Med 15: 203–208, 1997.

Liu

Shih

Huang

: Posterior cranial fossa arteriovenous fistula with presenting as carotico-cavernous fistula. Neuroradiology 43: 405–408, 2001.

Ouanounou

Tomsick

Heitsman

: Cavernous sinus and inferior petrosal sinus flow signal on three-dimensional time-of-flight MR angiography. Am J Neuroradiol 20: 1476–1481, 1999.

10.

Paksoy

Genc

: Retrograde flow in the left inferior petrosal sinus and blood steal of the cavernous sinus associated with central vein stenosis: MR angiographic findings. Am J Neuroradiol 24: 1364–1368, 2003.

11.

Uchino

Nomiyama

Takase

: Retrograde flow in the dural sinuses detected by three-dimensional time-of-flight MR angiography. Neuroradiology 49: 211–215, 2007.

12.

Halbach

Higashida

Hieshima

: Transvenous embolization of dural fistulas involving the transverse and sigmoid sinuses. Am J Neuroradiol 10: 385–392, 1989.

13.

Cognard

Houdart

Casasco

: Long-term changes in intracranial dural arteriovenous fistulae leading to worsening in the type of venous drainage. Neuroradiology 39: 59–66, 1997.

Abnormal Flow in the Cavernous Sinus Caused by an Asymptomatic Dural Arteriovenous Fistula of the Contralateral Transverse-Sigmoid Sinus

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