Related Experiment Video
Updated: Jun 15, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Anterior cranial fossa dural arteriovenous fistulae presenting as subdural hematoma
1Department of Neurosurgery, Maryknoll Medical Center, Busan Catholic Health System, Busan, Korea.
Abstract:
Anterior cranial fossa dural arteriovenous fistulae (DAVFs) are very rare and the bleeding rate is very high, especially in the presence of leptomeningeal draining vein and aneurysmal varix formation. A 85-year-old male patient presented with subdural hematoma (SDH). Magnetic resonance image (MRI) and transfemoral carotid angiography (TFCA) disclosed DAVF at the anterior cranial fossa with bilateral arterial feeders and leptomeningeal draining vein with varix formation. The lesion was treated by simple ligation of pial connecting vein using low frontal craniotomy. In comparison with DAVFs of the other sites, the anterior cranial fossa DAVF is difficult to manage by endovascular treatment due to not only the difficulty of transvenous access but the risk of visual impairment when using transarterial route. Surgical ligation of pial connecting vein is feasible and effective treatment.
Related Concept Videos
Hemorrhagic Stroke l: Introduction
Veins of Head and Neck
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
Hemorrhagic Stroke ll: Pathophysiology
Cerebral Edema ll: Pathophysiology
Brain Abscess l: Introduction
The Arch of Aorta
Encircling the heart, the coronary arteries form a ring-like structure before...
