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Fatal Rebleeding from a Dural Arteriovenous Malformation of the Posterior Fossa: case report with pathological examination

Published online by Cambridge University Press:  18 September 2015

J. Max Findlay
Affiliation:
Division of Neurosurgery, Division of Anatomical Pathology, University of Alberta
Bruce W. Mielke
Affiliation:
Department of Laboratory Medicine and Pathology, The Montreal Children's Hospital, Division of Anatomical Pathology, University of Alberta
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Abstract:

A seventy-year-old woman suffered a fatal cerebellar rehemorrhage from a large venous aneurysm associated with a dural arteriovenous malformation (AVM) of the posterior fossa. The malformation, fed by branches of the right vertebral, occipital and middle meningeal arteries, had a nidus in the transverse sinus wall with a pedunculated extension reaching the pial surface of the adjacent cerebellum, from where the malformation drained exclusively into an aneurysmal cerebellar vein. There was no associated venous sinus obstruction. Histopathological examination of the venous sinuses, arteriovenous malformation and venous drainage is described and these findings as they relate to the pathogenesis of dural AVMs are discussed. Vascular malformations of the dura mater do not appear to be a single clinical or pathological entity. The serious risk of hemorrhage from a parenchymal venous aneurysm is emphasized.

Type
Articles
Copyright
Copyright © Canadian Neurological Sciences Federation 1994

References

1.Houser, OW, Baker, HL Jr, Rhoton, A Jr, Okazaki, H.Intracranial durai arteriovenous malformations. Radiology 1972; 105: 5564.CrossRefGoogle Scholar
2.Obrador, S, Soto, M, Silvela, J.Clinical syndromes of arteriovenous malformations of the transverse-sigmoid sinus. J Neurol Neurosurg Psychiatry 1975; 38: 436451.Google ScholarPubMed
3.Kuhner, A, Krastel, A, Stoll, W.Arteriovenous malformations of the transverse durai sinus. J Neurosurg 1976; 45: 1219.CrossRefGoogle Scholar
4.Malik, GM, Pearce, JE, Ausman, JI, Mehta, B.Durai arteriovenous malformations and intracranial hemorrhage. Neurosurgery 1984; 15: 332338.CrossRefGoogle Scholar
5.Lasjaunias, P, Ming, C, Ter Brugge, K, et al. Neurological manifestations of intracranial durai arteriovenous malformations. J Neurosurg 1986; 64: 724730.CrossRefGoogle Scholar
6.Awad, IA, Little, JR, Akrawi, WP, Ahi, J.Intracranial durai arteriovenous malformations: factors predisposing to an aggressive neurologic course. J Neurosurg 1990; 72: 839850.CrossRefGoogle Scholar
7.Vinuela, F, Fox, AJ, Pelz, DM, Drake, CG. Unusual clinical manifestations of durai arteriovenous malformations. J Neurosurg 1986; 64: 554558.CrossRefGoogle Scholar
8.Barnwell, SL, Halbach, VV, Dowd, CF, et al. A variant of arteriovenous fistulas within the wall of durai sinuses. J Neurosurg 1991; 74: 199204.CrossRefGoogle Scholar
9.Houser, OW, Campbell, JK, Campbell, RJ, Sundt, TM Jr. Arteriovenous malformation affecting the transverse durai venous sinus – an acquired lesion. Mayo Clin Proc 1979; 54: 651661.Google Scholar
10.Aminoff, MJ.Vascular anomalies in the intracranial dura mater. Brain 1973; 96: 601612.CrossRefGoogle ScholarPubMed
11.Nishijima, MTakaku, A, Endo, S, et al. Etiological evaluation of durai arteriovenous malformations of the lateral and sigmoid sinuses based on histological examinations. J Neurosurg 1992; 76: 600606.CrossRefGoogle Scholar
12.Graeb, DA, Dolman, CL.Radiological and pathological aspects of durai arteriovenous fistulas. J Neurosurg 1986; 64: 962967.CrossRefGoogle Scholar
13.Sundt, TM Jr, Piepgras DG. The surgical approach to arteriovenous malformations of the lateral and sigmoid durai sinuses. Neurosurgery 1983; 59: 3239.CrossRefGoogle Scholar
14.Vinuela, FV, Debrun, GM, Fox, AJ, et al. Detachable calibrated-leak balloon for superselective angiography and embolization of durai arteriovenous malformations. J Neurosurg 1983; 58: 817823.CrossRefGoogle Scholar
15.Halbach, VV, Higashida, RT, Hieshima, GB, et al. Transvenous embolization of durai fistulas involving the transverse and sigmoid sinuses. Am J Neuroradiol 1989; 10: 385392.Google Scholar
16.Chandler, HC Jr, Friedman, WA.Successful radiosurgical treatment of a durai arteriovenous malformation: case report. Neurosurgery 1993; 33: 139142.Google Scholar
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