Combined surgical and endovascular treatment of a spontaneous diploic arteriovenous fistula

Case report

Restricted access

✓The authors report on the case of a 28-year-old woman presenting with an intraosseous arteriovenous fistula (AVF) located in the left parietal bone. The fistula was formed by direct arteriovenous shunts connecting branches of the left middle meningeal and superficial temporal arteries with a parietal diploic vein. Drainage occurred through both the external and internal jugular venous systems. Therapy consisted of combined surgical and endovascular approaches. The results of a pathological examination of the resected AVF showed mild enlargement of the diploic space. The angiographic appearance, pathological anatomy, and treatment of this rare lesion are discussed, as is a possible relationship between diploic AVFs and the development of aneurysm bone cysts.

Article Information

Contributor Notes

Address reprint requests to: Philippe Gailloud, M.D., Division of Interventional Neuroradiology, 600 North Wolfe Street, The Johns Hopkins Medical Institutions, Baltimore, Maryland. email: phg@jhmi.edu.

© AANS, except where prohibited by US copyright law.

Headings
References
  • 1.

    El Deeb MSedano HOWaite DE: Aneurysmal bone cyst of the jaws. Report of a case associated with fibrous dysplasia and review of the literature. Int J Oral Surg 9:3013111980El Deeb M Sedano HO Waite DE: Aneurysmal bone cyst of the jaws. Report of a case associated with fibrous dysplasia and review of the literature. Int J Oral Surg 9:301–311 1980

    • Search Google Scholar
    • Export Citation
  • 2.

    Hamada YGoto KInoue TIwaki TMatsuno HSuzuki Set al: Histopathological aspects of dural arteriovenous fistulas in the transverse-sigmoid sinus region in nine patients. Neurosurgery 40:4524581997Hamada Y Goto K Inoue T Iwaki T Matsuno H Suzuki S et al: Histopathological aspects of dural arteriovenous fistulas in the transverse-sigmoid sinus region in nine patients. Neurosurgery 40:452–458 1997

    • Search Google Scholar
    • Export Citation
  • 3.

    Hershkovitz IGreenwald CRothschild BMLatimer BDutour OJellema LMWish-Baratz Set al: The elusive diploic veins: anthropological and anatomical perspective. Am J Phys Anthropol 108:3453581999Hershkovitz I Greenwald C Rothschild BM Latimer B Dutour O Jellema LM Wish-Baratz S et al: The elusive diploic veins: anthropological and anatomical perspective. Am J Phys Anthropol 108:345–358 1999

    • Search Google Scholar
    • Export Citation
  • 4.

    Ikeda HNiizuma HSuzuki JNagamine YKameyama Met al: [Chemical embolization using estrogen for aneurysmal bone cyst of the skull: case report.] No Shinkei Geka 13:2032081985 (Jpn)Ikeda H Niizuma H Suzuki J Nagamine Y Kameyama M et al: [Chemical embolization using estrogen for aneurysmal bone cyst of the skull: case report.] No Shinkei Geka 13:203–208 1985 (Jpn)

    • Search Google Scholar
    • Export Citation
  • 5.

    Ishii RUeki KIto J: Traumatic fistula between a lacerated middle meningeal artery and a diploic vein: case report. J Neurosurg 44:2412441976Ishii R Ueki K Ito J: Traumatic fistula between a lacerated middle meningeal artery and a diploic vein: case report. J Neurosurg 44:241–244 1976

    • Search Google Scholar
    • Export Citation
  • 6.

    Mironov A: Classification of spontaneous dural arteriovenous fistulas with regard to their pathogenesis. Acta Radiol 36:5825921995Mironov A: Classification of spontaneous dural arteriovenous fistulas with regard to their pathogenesis. Acta Radiol 36:582–592 1995

    • Search Google Scholar
    • Export Citation
  • 7.

    Mironov A: Pathogenetical consideration of spontaneous dural arteriovenous fistulas (DAVFs). Acta Neurochir 131:45581994Mironov A: Pathogenetical consideration of spontaneous dural arteriovenous fistulas (DAVFs). Acta Neurochir 131:45–58 1994

    • Search Google Scholar
    • Export Citation
  • 8.

    Saba MIKing RB: Extravasation of angiographic contrast material from a torn middle meningeal artery into the diploi. Case report. J Neurosurg 38:89911973Saba MI King RB: Extravasation of angiographic contrast material from a torn middle meningeal artery into the diploi. Case report. J Neurosurg 38:89–91 1973

    • Search Google Scholar
    • Export Citation
  • 9.

    Som PMSchatz CJFlaum EGLanman TH: Aneurysmal bone cyst of the paranasal sinuses associated with fibrous dysplasia: CT and MR findings. J Comput Assist Tomogr 15:5135151991Som PM Schatz CJ Flaum EG Lanman TH: Aneurysmal bone cyst of the paranasal sinuses associated with fibrous dysplasia: CT and MR findings. J Comput Assist Tomogr 15:513–515 1991

    • Search Google Scholar
    • Export Citation
TrendMD
Metrics

Metrics

All Time Past Year Past 30 Days
Abstract Views 88 88 8
Full Text Views 81 58 3
PDF Downloads 50 27 0
EPUB Downloads 0 0 0
PubMed
Google Scholar