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Resolution of brainstem edema after treatment of a dural tentorial arteriovenous fistula
Authors:Hortensia Alvarez  Deanna Sasaki-Adams  Mauricio Castillo
Affiliation:1.Division Interventional Neuroradiology. University of North Carolina at Chapel Hill, USA;2.Department of Neurosurgery. University of North Carolina at Chapel Hill, USA;3.Division of Neuroradiology, University of North Carolina at Chapel Hill, USA
Abstract:We report a patient with a petrosal arterio-venous dural fistula draining into the ponto-mesencephalic and medullary venous systems presenting with edema of the brain stem and complete reversal of magnetic resonance imaging (MRI) abnormalities after combined endovascular and surgical treatments. The venous anatomy of the posterior fossa and the significance of the venous involvement as the cause of clinical symptoms and imaging abnormalities in cerebro-medullary vascular lesions are discussed.
Keywords:Dural arteriovenous fistula   posterior fossa bridging veins   superior petrosal vein   cerebral venous infarction
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