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American Journal of Neuroradiology, Vol 19, Issue 7 1329-1332, Copyright © 1998 by American Society of Neuroradiology


ARTICLES

Surgical transvenous embolization of a cortically draining carotid cavernous fistula via a vein of the sylvian fissure

N Kuwayama, S Endo, M Kitabayashi, M Nishijima and A Takaku
Department of Neurosurgery, Toyama Medical & Pharmaceutical University, Japan.

Percutaneous transvenous embolization is one of the most effective treatments of intracranial dural arteriovenous fistulas (AVFs) involving the dural sinuses. We present a unique case of surgical transvenous embolization in a 48-year-old man with a dural AVF of the cavernous sinus who presented with intracerebral hematoma. The dural AVF drained only into the vein of the sylvian fissure on angiography. Transvenous embolization via the vein of the sylvian fissure during craniotomy obliterated the AVF completely.


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