Angiography and selective microcatheter embolization of a falcine meningioma supplied by the artery of Davidoff and Schechter

Case report

Restricted access

Angiographic demonstration of the meningeal branch of the posterior cerebral artery, or the artery of Davidoff and Schechter, is extremely rare. The authors describe a case of successful selective catheterization and embolization of a pathologically enlarged artery of Davidoff and Schechter, permitting successful preoperative devascularization of a large falcine meningioma.

Abbreviation used in this paper: PCA = posterior cerebral artery.

Article Information

Address correspondence to: Indran Davagnanam, M.B., B.Ch., B.A.O., B.Med.Sci., F.R.C.R., Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, Queen Square, London WC1 N 3BG, United Kingdom. email: indran.davagnanam@uclh.nhs.uk.

Please include this information when citing this paper: published online May 21, 2010; DOI: 10.3171/2010.4.JNS10218.

© AANS, except where prohibited by US copyright law.

Headings

Figures

  • View in gallery

    Axial (left) and coronal (right) Gd-enhanced T1-weighted MR images demonstrating the parafalcine meningioma involving the superior sagittal dural venous sinus.

  • View in gallery

    Left vertebral artery catheter angiograms, Towne's (A) and lateral (B) arterial phase projections, demonstrating an additional artery—the artery of Davidoff and Schechter—arising from the proximal left PCA in the left ambient cistern, ascending vertically along the falx on reaching the midline (white arrows). Lateral projection in a late parenchymal phase (C) revealing a sizeable “tumoral blush” in a large, inferior component of the lesion.

  • View in gallery

    Lateral superselective microcatheter angiogram (left) and 3D rotational microcatheter angiogram (right) demonstrating the characteristic course of the meningeal branch of the PCA and abnormal tumor vasculature.

  • View in gallery

    Lateral digital subtraction image of embolic agent within the distal meningeal branch of the left PCA and tumor vessels.

  • View in gallery

    Postprocedure left vertebral artery catheter angiogram, lateral arterial (left) and lateral parenchymal phase (right) projections, showing occlusion of the meningeal branch of the PCA. The “tumoral blush” is no longer visible.

References

1

Asari SMaeshiro TTomita SKawauchi MYabuno NKinugasa K: Meningiomas arising from the falcotentorial junction. Clinical features, neuroimaging studies, and surgical treatment. J Neurosurg 82:7267381995

2

Bojanowski WMRigamonti DSpetzler RFFlom R: Angiographic demonstration of the meningeal branch of the posterior cerebral artery. AJNR Am J Neuroradiol 9:8081988

3

Martins CYasuda ACampero AUlm AJTanriover NRhoton AL Jr: Microsurgical anatomy of the dural arteries. Neurosurgery 56:Suppl 22112512005

4

Uchino AOhno M: Cerebellar hemangioblastoma supplied by the artery of Davidoff and Schechter: a case report. Nippon Igaku Hoshasen Gakkai Zassh 46:119411971986

5

Weinstein MADuchesneau PMDohn DF: Angiographic identification of the meningeal branch of the posterior cerebral artery. AJR Am J Roentgenol 128:3263271977

6

Weinstein MAStein RPollock JStucker TBNewton TH: Meningeal branch of the posterior cerebral artery. Neuroradiology 7:1291311974

7

Wollschlaeger PBWollschlaeger G: [An infratentorial meningeal artery.]. Radiologe 5:4514521965. (Ger)

TrendMD

Metrics

Metrics

All Time Past Year Past 30 Days
Abstract Views 104 104 20
Full Text Views 99 99 8
PDF Downloads 79 79 6
EPUB Downloads 0 0 0

PubMed

Google Scholar