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Dural arteriovenous malformations in the anterior cranial fossa

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Summary

Two cases of dural arteriovenous malformation (DAVM) fed by the anterior ethmoidal artery in the anterior cranial fossa are reported, one of them examined by magnet resonance imaging (MRI). Only one other case with MRI findings so far has been published. Fourty-eight previously reported cases are reviewed.

One of our patients presented with subdural haematoma (SDH) without subarachnoid or intracerebral haemorrhage. The other patient had a nasal bleed without any neurological manifestations. In comparison with previously reported cases, the clinical manifestation of our cases is infrequent (1 patient with nasal bleed, and 2 patients with pure SDH that is 2 and 4%, respectively, in the literature). Feeder was the anterior ethmoidal artery either unilateral or bilateral. Drainage of DAVMs was through a markedly dilated vascular sac into the superior sagittal sinus (SSS). The high incidence of haemorrhage from DAVM in the anterior fossa is related to this vascular sac. Magnetic resonance imaging (MRI) showed a flow void area in the left frontal region on T 1-weighted images in one case.

These cases were treated by surgical excision of the malformation with good results. Aetiology, clinical presentation, and treatment of these rare DAVMs in the anterior cranial fossa is discussed.

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References

  1. Abumiya T, Kamiyama H, Murata J, Numomura M, Chono Y, Kobayashi N, Abe H, Saito H, Miyasaka K, Abe S (1987) Dural arteriovenous malformation with uncommon draining veins in the anterior fossa. Case report. Neurol Med Chir (Tokyo) 27: 1195–1200

    Google Scholar 

  2. Awas IA, Little JR, Akrawi WP, Jennifer A (1990) Intracranial dural arteriovenous malformations: factors predisposing to an aggressive neurological course. J Neurosurg 72: 839–850

    PubMed  Google Scholar 

  3. Bitoh S, Nakagawa H, Arita N, Fujiwara M (1981) Dural arteriovenous malformation in the anterior fossa. Case report. Neurol Med Chir (Tokyo) 21: 131–134

    Google Scholar 

  4. Chandler Jr HC, Friedman WA (1993) Successful radiosurgical treatment of dural arteriovenous malformation. Case report. Neurosurgery 33: 139–142

    PubMed  Google Scholar 

  5. Dardenne GH (1978) Dural arteriovenous anomaly fed by ethmoidal arteries. Surg Neurol 10: 384–388

    PubMed  Google Scholar 

  6. Doyon D, Mertger J (1970) Malformations vasculaires isolees soustentorielles (a l'exclusion des fistules carotido-caverneuses). 9e Symposium de Neuroradiologie de Goteborg, 24 au 29.8.70

  7. Driesen W, Elies W (1972) Über drei Fälle kranieller arteriovenöser Mißbildungen mit arterieller Versorgung aus der Arteria ethmoidea anterior. Neurochirurgie (Stuttg) 15: 178–181

    Google Scholar 

  8. Handa J, Shimizu Y (1973) Dural arteriovenous anomaly supplied by anterior falcine artery. Neuroradiology 6: 212–214

    PubMed  Google Scholar 

  9. Halbach VV, Higashida RT, Hieshima GB, Wilson CB, Barnwell SL, Dowd CF (1990) Dural arteriovenous fistula supplied by ethmoidal arteries. Neurosurgery 26: 816–823

    PubMed  Google Scholar 

  10. Hayashi T, Tokunaga T, Matsuo M (1986) Dural arteriovenous malformation in the anterior fossa with subarachnoid haemorrhage. Kurume Med J 33: 187–191

    PubMed  Google Scholar 

  11. Houser OW, Campbell JK, Campbell RJ, Sundt TM (1979) Arteriovenous malformation affecting the transverse dural sinus. An acquired lesion. Mayo Clin Proc 54: 651–661

    PubMed  Google Scholar 

  12. Ishimitsu H, Nishimoto K, Harada Y, Miyata I, Matsumi N, Namba S (1986) Dural arteriovenous malformation in the anterior cranial fossa. Case report. Neurol Med Chir (Tokyo) 26: 822–828

    Google Scholar 

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

    PubMed  Google Scholar 

  14. Katayama Y, Tsubokawa T, Moriyasu N, Kotani A (1980) Dural arteriovenous malformation in the anterior cranial fossa. Neurol Surg 8: 1079–1085

    Google Scholar 

  15. Kidooka M, Nakasu S, Nakasu Y, Handa J (1982) Dural arteriovenous malformation in the anterior cranial fossa: report of a case. Arc Jpn Chir 6: 1040–1046

    Google Scholar 

  16. Kobayashi H, Hayashi M, Noguchi Y, Tsuji T, Handa Y, Caner HH(1988) Dural arteriovenous malformations in the anterior cranial fossa. Surg Neurol 30: 396–401

    PubMed  Google Scholar 

  17. Koga H, Fuji K, Momosaki N, Kishikawa T (1987) Dural arteriovenous malformation in the anterior cranial fossa. Case report. Neurol Med Chir (Tokyo) 27: 144–149

    Google Scholar 

  18. Lasjaunias P, Chiu M, Brugge MT, Tolia A, Hurth M, Bernstein M (1986) Neurological manifestations of intracranial dural arteriovenous malformations. J Neurosurg 64: 724–730

    PubMed  Google Scholar 

  19. Lasjaunias P, Halimi P, Lopez-Ibor L, Sichez JP, Hurth M, De Triolet N (1983) Traitement endovasculaire des malformations vasculaires durales (MVD) pures spontanees. Rev ue de 23 cas explores et traites entre main. 1980 et octobre 1983. Neurochirurgie 30: 207–223

    Google Scholar 

  20. Lepoire J, Montaut J, Bouchot M, Laxenaire M (1963) Aneurismes arterioveineux intrafrontaux vascularises par l'artere ethmoidale anterieure: a propos de trois observations. Neurochirurgia 9: 159–166

    Google Scholar 

  21. Newton TH, Cronqvist S (1969) Involvement of the dural arteries in intracranial arteriovenous malformations. Radiology 93: 1071–1078

    PubMed  Google Scholar 

  22. Notari F, Casasco A, Mani J, Alachkar F, Theron J, Houteville JP, Toumi K (1988) Fistules durales ethmoidales anterieures. Trois nouvelles observations. J Radiol 69: 663–669

    PubMed  Google Scholar 

  23. Okada T, Matsuda M, Handa J (1988) Association of cerebral aneurysm and dural arteriovenous malformation in the anterior cranial fossa: case report. Neurol Surg 16: 903–906

    Google Scholar 

  24. Picard L, Bracard S, Moret J, Per A, Giacobbe HL, Roland J (1987) Spontaneous dural arteriovenous fistula. Semin Intervent Radiol 4: 219–241

    Google Scholar 

  25. Pollock JA, Newton TH (1963) The anterior falx artery: normal and pathologic anatomy. Radiology 91: 1089–1095

    Google Scholar 

  26. Pradat P, Doyon D, Navarro-Artiles G, Raymond JP (1968) Anevrisme arterio-veineux sous-dural de la gouttiere olfactive. Neurochirurgia 14: 923–930

    Google Scholar 

  27. Tanaka K, Yonekawa Y, Miyake H (1991) Dural arteriovenous malformation in the anterior cranial fossa: report of a case. Surg Neurol 36: 221–225

    PubMed  Google Scholar 

  28. Terada T, Kikuchi H, Karasawa J, Nagata I (1984) Intracerebral arteriovenous malformation fed by the anterior ethmoidal artery: case report. Neurosurgery 14: 578–582

    PubMed  Google Scholar 

  29. Tiyawarabun S, Vonofukos P, Lorenz R (1986) Intracerebral arteriovenous malformation fed by both ethmoidal arteries. Surg Neurol 26: 375–382

    PubMed  Google Scholar 

  30. Tokunaga T, Hayashi T, Shojimi K, Utsunomigi H, Matsuo M (1986) Dural arteriovenous malformation of the anterior fossa with subarachnoid hemorrhage. No Shinkei Geka 14: 1391–1395

    PubMed  Google Scholar 

  31. Waga S, Fujimoto K, Morikawa A, Morooka Y, Okada M (1977) Dural arteriovenous malformation in the anterior fossa. Surg Neurol 8: 356–358

    PubMed  Google Scholar 

  32. Winter A, Yeager H, Bastidas J (1974) Cerebral vascular hemorrhage. A new surgical approach. Vasc Surg 8: 95–106

    PubMed  Google Scholar 

  33. Yamada T, Okuchi K, Tuji H, Morimoto E, Fujikawa A, Ko-nobu T, Miyamoto S (1993) A case of intracerebral AVM fed by the anterior ethmoidal artery. Neurol Surg 21: 459–462

    Google Scholar 

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Author notes

  1. M. K. Başkaya

    Present address: Department of Neurosurgery, Ankara University, School of Medicine, Ibni Sina Hospital, Ankara, Turkey

Authors and Affiliations

  1. Department of Neurosurgery, Nagoya University School of Medicine, Nagoya, Japan

    M. K. Başkaya, Y. Suzuki, Y. Seki, M. Negoro, M. Ahmed & K. Sugita

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  1. M. K. Başkaya
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  2. Y. Suzuki
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Başkaya, M.K., Suzuki, Y., Seki, Y. et al. Dural arteriovenous malformations in the anterior cranial fossa. Acta neurochir 129, 146–151 (1994). https://doi.org/10.1007/BF01406494

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