ABSTRACT
The transverse sinus is one of the most common locations for dural fistulas. A 43-year-old man with pulsatile tinnitus had arteriography that showed a left transverse dural arteriovenous fistula. We report on the treatment of the fistula with embolization of the supplying arteries. Primary transarterial embolization failed to completely obliterate the fistula and the recurrent symptoms were observed. Subsequent embolization was tried by using PVA (polyvinyl alcohol), spongostan and mechanical detachable coils and resulted in the improvement of the patient's tinnitus. The additional arteriographical finding was microangioma located on the branch supplying the fistula arising from the left vertebral artery.
Subject(s)
Arteriovenous Fistula/therapy , Dura Mater , Embolization, Therapeutic/methods , Adult , Arteriovenous Fistula/complications , Arteriovenous Fistula/diagnostic imaging , Hemangioma/complications , Hemangioma/diagnostic imaging , Hemangioma/pathology , Humans , Male , Neoplasms, Vascular Tissue/complications , Neoplasms, Vascular Tissue/diagnostic imaging , Neoplasms, Vascular Tissue/pathology , Radiography , Vertebral Artery/diagnostic imaging , Vertebral Artery/pathologySubject(s)
Coronary Disease/diagnosis , Dipyridamole , Adult , Exercise Test , False Negative Reactions , Female , Humans , Male , Middle AgedSubject(s)
Cerebral Angiography/instrumentation , Eye Protective Devices , Protective Devices , Adolescent , Adult , Aged , Evaluation Studies as Topic , Female , Humans , Lead , Male , Middle Aged , Radiation DosageSubject(s)
Liver Neoplasms/blood supply , Adolescent , Angiography , Female , Humans , Liver/blood supply , Male , Middle Aged , Neoplasm MetastasisSubject(s)
Lung/abnormalities , Abnormalities, Multiple/diagnosis , Adolescent , Child, Preschool , Congenital Abnormalities/diagnosis , Female , Humans , Male , PolandSubject(s)
Arachnoid , Brain/abnormalities , Cerebral Angiography , Cysts/diagnostic imaging , Child, Preschool , Female , Frontal Lobe/abnormalities , Humans , Infant , Male , Temporal Lobe/abnormalitiesABSTRACT
The authors report a case of Hakim's syndrome developing in a 53-year-old man. Manifestations of parkinsonian syndrome prevailed. After implantation of a Pudenz-type valve significant improvement was obtained which confirms the clinical diagnosis.
Subject(s)
Hydrocephalus, Normal Pressure/diagnosis , Hydrocephalus/diagnosis , Cerebrospinal Fluid Shunts , Diagnosis, Differential , Humans , Hydrocephalus, Normal Pressure/surgery , Male , Middle Aged , Parkinson Disease/diagnosisABSTRACT
In the light of pertinent literature the authors discuss two interesting cases of developmental anomalies of cerebral vessels demonstrated by means of angiography which were the cause of epileptic seizures and progressive dementia.
