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Updated: May 7, 2026
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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
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Multiple intracranial dural arteriovenous fistula
Abdolkarim Rahmanian1, Majid R Farrokhi, Ehsan A Alibai
1Department of Neurosurgery, Shiraz Neurosciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Summary
This study details a rare case of multiple dural arteriovenous fistulas (DAVFs) presenting with unique origins and simultaneous drainage into the superior sagittal sinus (SSS). The findings highlight an exceptional DAVF presentation in a patient with intraparenchymal hemorrhage.
Area of Science:
- Neurology
- Radiology
- Vascular Surgery
Background:
- Dural arteriovenous fistulas (DAVFs) are abnormal connections between dura mater arteries and veins.
- While typically presenting in specific forms, DAVFs can exhibit unique anatomical variations.
- Intracranial hemorrhage is a potential complication of dural arteriovenous fistulas.
Observation:
- A rare case of multiple DAVFs was identified in a 50-year-old male.
- Magnetic Resonance Imaging (MRI) revealed two parieto-occipital masses adjacent to the superior sagittal sinus (SSS) with flow voids.
- An additional lesion connected to the SSS via an abnormal cortical vein was noted anteriorly.
Findings:
- The patient presented with right parietal intraparenchymal hemorrhage.
- Both identified DAVFs demonstrated simultaneous drainage into the superior sagittal sinus (SSS).
- This case represents an exceptional DAVF presentation with unique origins and drainage patterns.
Implications:
- Understanding rare DAVF anatomies is crucial for accurate diagnosis and treatment planning.
- Simultaneous SSS drainage in multiple DAVFs presents unique neurosurgical challenges.
- This case contributes to the literature on atypical dural arteriovenous malformations and their management.
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