Skip to main content
Log in

Dural arteriovenous malformations at the base of the anterior cranial fossa: report of nine cases

  • Interventional Neuroradiology
  • Published:
Neuroradiology Aims and scope Submit manuscript

Abstract

Nine men with dural arteriovenous malformations (DAVM) at the base of the anterior cranial fossa are described. Four patients had intracerebral haemorrhage and four had seizures, associated with haemorrhage in two. In three cases the fistula was an incidental finding. In five cases the diagnosis could be made before angiography, on the basis of CT findings. Angiographically, venous drainage was always seen into ascending cortical veins. Five cases demonstrated drainage via the olfactory vein into the basal vein of Rosenthal; in four this way was the principal route of drainage. Five patients underwent surgery, the therapy of choice. One fistula closed spontaneously after angiography. Two patients refused treatment and one was not treated because of his poor general condition. Because arterial supply was usually bilateral, from small branches of the ophthalmic artery, embolisation seemed to be more dangerous. Compared to dural fistulae in other locations the DAVM of the anterior cranial fossa have a higher risk of complications and should be treated even if asymptomatic at the time of diagnosis.

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. Lepoire J, Montaut J, Bouchot M, Laxenaire M (1963) Anévrismes artério-veineux infrafrontaux vascularisés par l'artére ethmoidale antérieure. A propos de trois observations. Neurochirurgie 9: 159–166

    Google Scholar 

  2. 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

    Google Scholar 

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

    Google Scholar 

  4. Djindjian R, Merland JJ (1978) Superselective angiography of the external carotid artery. Springer, Berlin Heidelberg New York

    Google Scholar 

  5. Houser OW, Campbell JK, Campbell RJ, et al (1979) Arteriovenous malformation affecting the transverse venous sinusan acquired lesion. Mayo Clin Proc 54: 651–661

    Google Scholar 

  6. Houser OW, Baker HL Jr, Rhoton AL Jr, et al (1972) Intracranial dural arteriovenous malformations. Radiology 105: 55–64

    Google Scholar 

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

    Google Scholar 

  8. Handa J, Yoneda S, Handa H (1975) Venous sinus occlusion with a dural arteriovenous malformation of the posterior fossa. Surg Neurol 4: 433–437

    Google Scholar 

  9. Olivecrona H, Ladenheim J (1957) Congenital arteriovenous aneurysms of the carotid and vertebral system. Springer, Berlin Göttingen Heidelberg

    Google Scholar 

  10. Lasjaunias P, Chiu M, Brugge KT, Tolosa A, Hurth M, Bernstein M (1986) Neurological manifestations of intracranial dural arterio-venous malformations. J Neurosurg 64: 724–730

    Google Scholar 

  11. Lasjaunias P, Halimi PH, López-Ibor L, Sichez JP, Hurth M, de Tribolet ND (1986) 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 

  12. 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 

  13. Lasjaunias P, Berenstein A (1987) Surgical neuroangiography. Springer, Berlin Heidelberg New York, pp 273–315

    Google Scholar 

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

    Google Scholar 

  15. Landman JA, Braun IF (1985) Spontaneous closure of a dural arteriovenous fistula associated with acute hearing loss. AJNR 6: 448–449

    Google Scholar 

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

    Google Scholar 

  17. Rohr J, Gauthier G (1985) Regression spontanée d'une fistule arterioveineuse dure-mérienne de la fosse postérieure. Rev Neurol (Paris) 141: 240–244

    Google Scholar 

  18. Magidson MA, Weinberg PE (1976) Spontaneous closure of a dural arterio-venous malformation. Surg Neurol 6: 107–110

    Google Scholar 

  19. Folkman J, Klagsbrun M (1987) Angiogenetic factors. Science 235: 442–447

    Google Scholar 

  20. Abumiya T, Kamiyama H, Murata J, Nunomura 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 

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

    Google Scholar 

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

    Google Scholar 

  23. Harding AE, Kendall B, Leonard TJK, Johnson MH (1984) Intracerebral haemorrhage complicating dural arteriovenous fistula: a report of two cases. J Neurol Neurosurg Psychiatry 47: 905–911

    Google Scholar 

  24. Fardoun R, Adam Y, Mercier P, Guy G (1981) Tentorial arteriovenous malformation presenting as an intracerebral hematoma. J Neurosurg 55: 976–978

    Google Scholar 

  25. Wilkins RH (1985) Natural history of intracranial vascular malformations: a review. Neurosurgery 16: 421–430

    Google Scholar 

  26. Aminoff MJ (1973) Vascular anomalies in the intracranial dura mater. Brain 96: 601–612

    Google Scholar 

  27. Aminoff MJ, Kendall BE (1973) Asymptomatic dural vascular anomalies. Br J Radiol 46: 662–667

    Google Scholar 

  28. Sutherland GR, King ME, Drake CJ, Peerless CJ, Vezina WC (1988) Platelet aggregation within cerebral arteriovenous malformations. J Neurosurg 68: 198–204

    Google Scholar 

  29. Balo J (1950) The dural venous sinuses. Anat Rec 106: 319–325

    Google Scholar 

  30. Barnwell SL, Halbach VV, Dowd CF, Higashida RT, Hieshima GB, Wilson CB (1991) Multiple dural arteriovenous fistulas of the cranium and spine. AJNR 12: 441–445

    Google Scholar 

  31. Graeb DA, Dolman CL (1986) Radiological and pathological aspects of dural arteriovenous fistulas. J Neurosurg 64: 962–967

    Google Scholar 

  32. Willinsky R, Lasjaunias P, Terbrugge K, Pruvost P (1988) Brain arteriovenous malformations: analysis of the angio-architecture in relationship to hemorrhage (based on 152 patients explored and/or treated at the Hospital de Bicetre between 1981 and 1986). J Neuroradiol 15: 225–237

    Google Scholar 

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

    Google Scholar 

  34. Kuwayama N, Takaku A, Nishijima M, Endo S, Hirano Y (1989) Multiple dural arteriovenous malformations. Report of two cases. J Neurosurg 71: 932–934

    Google Scholar 

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

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Reul, J., Thron, A., Laborde, G. et al. Dural arteriovenous malformations at the base of the anterior cranial fossa: report of nine cases. Neuroradiology 35, 388–393 (1993). https://doi.org/10.1007/BF00588378

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00588378

Key words

Navigation