Korean J Radiol.  2013 Jun;14(3):497-500. 10.3348/kjr.2013.14.3.497.

Congenital Pial Arteriovenous Fistula in the Temporal Region Draining into Cavernous Sinus: A Case Report

• Zhang Z
• Yang K
• Wang C
• Zhang C
• Xie X
• Tang J

• KMID: 1705466
• DOI: http://doi.org/10.3348/kjr.2013.14.3.497

Abstract

This report concerns a 4-month-old infant with progressive prominent and redness of his left eye since birth. This report concerns a 4-month-old infant with progressive prominent redness of his left eye since birth. Angiography revealed a congenital pial arteriovenous fistula between the temporal branch of the left posterior cerebral artery and left cavernous sinus through the sphenoparietal sinus, a condition not reported in the literature. The fistula was successfully occluded with two micro-coils by vertebrobasilar approach.

Keyword

Pial arteriovenous fistula; Embolization; Infant; Cavernous sinus

MeSH Terms

Arteriovenous Fistula/*diagnosis/therapy
*Cavernous Sinus/radiography
Embolization, Therapeutic/methods
Humans
Infant
Intracranial Arteriovenous Malformations/*diagnosis/therapy
Magnetic Resonance Imaging
Male
Posterior Cerebral Artery
Temporal Lobe/blood supply

Figure

• 

  Fig. 1 The MRI/DSA presentation and embolism result of this pial AVF in a 4-month-old infant. A. MRI revealed that proptosis of left eye, prominence of left cavernous sinus and enlargement of extraocular muscles. B, C. DSA revealed pial AVF between temporal branch of left PCA and left cavernous sinus through sphenoparietal sinus (B. AP image, C. LAT image). D. Cerebral angiography was repeated sequentially after coil was filled with checking for occlusion of fistula. E, F. Angiogram of post-embolization revealed fistula was entirely occluded by using only two micro-coils (E. AP image, F. LAT image).

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