Superior sagittal sinus dural arteriovenous fistula caused by treatment of meningioma masquerades as sinus thrombosis

Michael J. Gigliotti, Neel Patel, Scott Simon

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2 Scopus citations


Dural arteriovenous fistulas (DAVF) are rare acquired lesions resulting from abnormal shunting between intracranial dural arteries and venous system. Typically arising from structural weakness of the dura and a coinciding trigger factor, DAVFs can present with similar clinical and imaging characteristics to sinus thrombosis. A 61-year-old male with a history of meningioma previously managed with subtotal resection and stereotactic radiosurgery presented with progressive right-sided vision loss and bilateral papilledema. Initial imaging suggested possible sinus occlusion. Catheter angiogram revealed a Borden-Shucart grade III DAVF of the superior sagittal sinus and elevated venous pressures and the patient subsequently underwent endovascular transarterial intervention twice. We report on the first case of a superior sagittal sinus DAVF occurring after surgical resection of a parasagittal meningioma.

Original languageEnglish (US)
Pages (from-to)260-265
Number of pages6
JournalJournal of Cerebrovascular and Endovascular Neurosurgery
Issue number3
StatePublished - Sep 2021

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

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