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Updated: Jun 10, 2026
14:58
Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Dural sinus malformation with dural arteriovenous fistula
C K Yau1, H Alvarez, P Lasjaunias
1Department of Neurosurgery, Kwong Wah Hospital, Hong Kong - kwongyauchan@netscape.net.
Summary
This study presents a rare infant dural sinus malformation with a dural arteriovenous fistula, identified by progressive macrocephaly. Successful treatment involved transarterial embolization to occlude the high-flow arteriovenous shunt.
Area of Science:
- Pediatric Neurology
- Vascular Malformations
- Neurosurgery
Background:
- Dural sinus malformations and dural arteriovenous fistulas are uncommon vascular anomalies.
- Infantile presentations often manifest with non-specific symptoms like macrocephaly.
Purpose of the Study:
- To describe a rare case of dural sinus malformation with dural arteriovenous fistula in an infant.
- To discuss the diagnostic and therapeutic strategies for this condition.
Main Methods:
- Case report detailing clinical presentation, diagnostic imaging (e.g., angiography), and interventional treatment.
- Review of natural history and treatment options for pediatric dural arteriovenous fistulas.
Main Results:
- A high-flow arteriovenous malformation of the sigmoid sinus associated with a jugular bulb diaphragm was identified.
- Intracranial sinus reflux was a significant finding.
- Successful occlusion of the shunt was achieved via transarterial embolization.
Conclusions:
- Dural sinus malformations with dural arteriovenous fistulas are rare in infants and can present with macrocephaly.
- Transarterial embolization is an effective treatment modality.
- Management requires careful consideration of the natural history and tailored treatment strategies.
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