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

Case report

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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:

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.



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

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    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.

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    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.

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

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    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.



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