Skip to main content
Log in

Extrasinusal dural arteriovenous malformations

Report of three cases

  • Originals
  • Published:
Neuroradiology Aims and scope Submit manuscript

Summary

Of 60 cases of dural arteriovenous malformations (DAVM) explored and treated in the Vascular Neuroradiology Unit of the Hospital of Bicêtre between 1980 and 1986, 3 presented in an extrasinusal location: intraorbital, middle cerebral fossa and the region of the superior orbital fissure. We have not found any prior description of DAVMs in these regions in the literature.

The classic concept that DAVMs arise in direct relationship with the dural sinuses is limited. We believe that these lesions may also develop in relationship with the venous drainage system of the sinuses and the venous drainage of the peripheral nervous system. We note that the superior ophthalmic vein which drains DAVMs of the orbit and the olfactory vein which drains DAVMs of the anterior cranial fossa and other veins that accompany the cranial nerves through the skull base have the characteristics of emissary veins. It may be that DAVMs can develop wherever veins follow a transosseous trajectory.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Ahn HS, Kerber CW (1983) Therapeutic embolization of external carotid cavernous fistulas in infancy. J Neuroradiol 10: 261–264

    Google Scholar 

  2. Aminoff MJ (1973) Vascular anomalies in the intra cranial dura mater. Brain 96:601–612

    Google Scholar 

  3. Bitoh S, Hasegawa H, Fujiwara M, Nakao K (1982) Irradiation of spontaneous carotid cavernous fistulas. Surg Neurol 17:282–286

    Google Scholar 

  4. Brainin M, Samec P (1983) Venous hemodyna meningeal fistulas in the posterior cranial fossa. Neuroradiology 25:161–169

    Google Scholar 

  5. Castaigne P, Bories J, Brunet P, Merland JJ, Meininger V (1976) Les fistules arterioveineuses méningées pures à drainage veineux cortical. Rev Neurol 132:169–181

    Google Scholar 

  6. Chaudhary MY, Sachdev VP, Cho SH, Weitzner IJ, Puljic S, Huang YP (1982) Dural arteriovenous malformations of the major venous sinuses: an acquired lesion. AJNR 3:13–19

    Google Scholar 

  7. Chiras J, Bories J, Leger JM, Gaston A, Launay M (1982) CT scan of dural arterio venous fistulas. Neuroradiology 23: 185–194

    Google Scholar 

  8. Fincher EF (1951) Arteriovenous fistula between the middle meningeal artery and the greater petrosal sinus. Ann Surg 133:886–888

    Google Scholar 

  9. Grisoli F, Vincentelli F, Fuchs S, Baldini M, Raybaud C, Leclercq TA, Vigouroux RP (1984) Surgical treatment of tentorial arteriovenous malformations draining into the subarachnoid space. J Neurosurg 60:1059–1066

    Google Scholar 

  10. Ito J, Imamura H, Kobayashi K, Tsuchida T, Sato S (1983) Dural arteriovenous malformations of the base of the anterior cranial fossa. Neuroradiology 24:149–154

    Google Scholar 

  11. Kataoka K, Taneda M (1984) Angiographic disappearance of multiple dural arteriovenous malformations. J Neurosurg 60: 1275–1278

    Google Scholar 

  12. Kosnix EJ, Hunt WE, Miller CA (1974) Dural arteriovenous malformations. J Neurosurg 40:322–329

    Google Scholar 

  13. Kuhner A, Krastel A, Stoll W (1976) Arteriovenous malformation of the transverse dural sinus. J Neurosurg 45:12–19

    Google Scholar 

  14. Lamas E, Lobato RD, Esparza J, Escudero L (1977) Dural posterior fossa AVM producing raised sagittal sinus pressure. J Neurosurg 46:804–809

    Google Scholar 

  15. Lasjaunias P, Berenstein A (1986) Surgical Neuroangiography. Springer, New York, pp 450 and 500

    Google Scholar 

  16. Lasjaunias P, Berenstein A, Moret J (1983) Signification de la vascularisation durale des lésions du systeme nerveux central. J Neuroradiol 10:31–42

    Google Scholar 

  17. Lasjaunias P, Chiu M, Terbrugge K, Tolia A, Hurth M, Bernstein M (1986) Neurological manifestations of intra cranial dural arteriovenous malformations. J Neurosurg 64:724–730

    Google Scholar 

  18. Lasjaunias P, Halimi P, Lopez-Ibor L, Sichez JP, Hurth M, Tribolet N (1983) Traitement endovasculaire des malformations vasculaires durales (MVD) pures “Spontanées”. Revue de 23 cas explorés et traités entre mai 1980 et octobre 1983. Neurochirurgie 30:207–223

    Google Scholar 

  19. Lasjaunias P, Lopez-Ibor L, Abanou A, Halimi P (1984) Radiological anatomy of the vascularization of cranial dural arteriovenous malformations. Anat Clin 6:87–99

    Google Scholar 

  20. Lasjaunias P, Terbrugge KG, Chiu MC (1986) Coaxial balloon-catheter device for treatment of neonates and infants. Radiology 159:269–271

    Google Scholar 

  21. Miyasaka K, Takei H, Nomura M, Sugimoto S, Aida T, Abe H, Tsuru M (1980) Computerized tomography findings in dural arteriovenous malformations. J Neurosurg 53:698–702

    Google Scholar 

  22. Nishijima M, Kamiyama K, Oka N, Endo S, Takaku A (1984) Electrothrombosis of spontaneous carotid cavernous fistula by Copper needle insertion. Neurosurgery 14:400–405

    Google Scholar 

  23. Obrador S, Soto M, Silvela J (1975) Clinical syndromes of arteriovenous malformations of the transverse sigmoid sinus. J Neurol Neurosurg Psychiatry 38:436–451

    Google Scholar 

  24. Olutola PS, Eliam M, Molot M, Talalla A (1983) Spontaneous regression of a dural arteriovenous malformation. Neurosurgery 12:687–690

    Google Scholar 

  25. Peeters FLM, Kroger R (1979) Dural and direct cavernous sinus fistulas. AJR 132:599–606

    Google Scholar 

  26. Sundt TM, Piepgras DG (1983) The surgical approach to arteriovenous malformations of the lateral and sigmoid dural sinuses. J Neurosurg 59:32–39

    Google Scholar 

  27. Terada T, Kikuchi H, Karasawa J, Nagata I (1984) Intra cerebral arteriovenous malformations fed by the anterior ethmoidal artery. Case report. Neurosurgery 14:578–582

    Google Scholar 

  28. Vinuela FV, Debrun GM, Fox AJ, Kan S (1983) Detachable calibrated-leak balloon for superselective angiography and embolization of dural arteriovenous malformations. J Neurosurg 58:817–823

    Google Scholar 

  29. Vinuela FV, Fox AJ, Debrun GM, Peerless SJ, Drake CG (1984) Spontaneous carotid-cavernous fistulas: clinical, radiological and therapeutic considerations. Experiences with 20 cases. J Neurosurg 60:976–984

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Piske, R.L., Lasjaunias, P. Extrasinusal dural arteriovenous malformations. Neuroradiology 30, 426–432 (1988). https://doi.org/10.1007/BF00404108

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00404108

Key words

Navigation