| Surgical Management of Dural Arteriovenous Fistula of the Anterior Cranial Fossa after Failure of Embolization Therapy: Case Report. |
| Jae Hyun Kim, O Ki Kwon, Ki Jae Lee, Sung Bum Koh, Heon Yoo, Young Cho Koh, Hyo Il Park |
1Department of Neurosurgery, InJe University, College of Medicine, Seoul, Korea.
2Department of Radiology, InJe University, College of Medicine, Seoul, Korea. |
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| ABSTRACT |
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Dural arteriovenous fistula (DAVF) of anterior cranial fossa is a rare entity. The authors report a 57 year-old man presented with retro-orbital headache caused by a large hematoma in the right frontal lobe. Angiography demonstrated a DAVF of anterior cranial fossa fed by branches of middle meningeal and anterior ethmoidal artery. Endovascular therapy using N-butyl cyanoacrylate was tried, however, was failed to occlude the fistula. After than, the lesion was successfully obliterated by surgical means. The therapeutic roles and pitfalls of endovascular treatment and surgical treatment for the anterior fossa DAVF are discussed. |
| Key Words:
Dural arteriovenous fistula; Anterior cranial fossa; Embolization; Surgical management |
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