Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013 Dec;6(2):30-3.

Marginal sinus fistula supplied exclusively by vertebral artery feeders

Wondwossen G Tekle  1 , Mikayel Grigoryan  1 , Ramachandra P Tummala  2
Affiliations

Marginal sinus fistula supplied exclusively by vertebral artery feeders

Wondwossen G Tekle et al. J Vasc Interv Neurol. 2013 Dec.

Abstract

A 54-year-old woman is reported with severe pulsatile tinnitus. Digital subtraction angiography demonstrated dural arteriovenous fistula of the marginal sinus with feeders arising exclusively from bilateral vertebral arteries. Patient underwent successful transarterial Onyx embolization with complete angiographic and clinical cure.

Keywords: Onyx; arteriovenous malformation; dural fistula; marginal sinus; vertebral artery.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.. Magnetic resonance angiography demonstrating coalescence of abnormal arteries in the region of marginal sinus (white arrows).
Figure 2.
Figure 2.. a and b Left vertebral artery arteriogram in anterioposterior (AP) and lateral projections demonstrating the MSF with an arterial feeder arising from the left vertebral artery.
Figure 3.
Figure 3.. a and b Right vertebral artery arteriogram in AP and lateral projections demonstrating the MSF with arterial feeders arising from the right vertebral artery.
Figure 4.
Figure 4.. Unsubtracted right vertebral artery arteriogram in AP projection demonstrating MSF around the foramen magnum (white arrow).
Figure 5.
Figure 5.. a and b Marginal sinus fistulogram with a microcatheter via left vertebral artery approach. c Microcatheter injection demonstrating the arterial feeders arising from the contralateral (right) vertebral artery.
Figure 5.
Figure 5.. a and b Marginal sinus fistulogram with a microcatheter via left vertebral artery approach. c Microcatheter injection demonstrating the arterial feeders arising from the contralateral (right) vertebral artery.
Figure 6.
Figure 6.. a and b AP and lateral, left vertebral artery angiogram. C and d AP and lateral, right vertebral artery angiogram, demonstrating complete obliteration of the fistula.
Figure 6.
Figure 6.. a and b AP and lateral, left vertebral artery angiogram. C and d AP and lateral, right vertebral artery angiogram, demonstrating complete obliteration of the fistula.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Tamargo RJ, Huang J. Brain arteriovenous malformations (AVMs) and dural arteriovenous fistulas (DAVFs): rare and formidable lesions. Neurosurg Clin N Am. 2012;23(1):xiii–xiv. - PubMed
    1. Söderman M, Pavic L, Edner G, Holmin S, Andersson T. Natural history of dural arteriovenous shunts. Stroke. 2008;39(6):1735–9. - PubMed
    1. Al-Shahi R, Bhattacharya JJ, Currie DG, et al. Prospective, population-based detection of intracranial vascular malformations in adults: the Scottish Intracranial Vascular Malformation Study (SIVMS) Stroke. 2003;34(5):1163–9. - PubMed
    1. Brown RD, Jr, Wiebers DO, Torner JC, et al. Incidence and prevalence of intracranial vascular malformations in Olmsted County, Minnesota, 1965 to 1992. Neurology. 1996;46:949–52. - PubMed
    1. McDougall CG, Halbach VV, Dowd CF, Higashida RT, Larsen DW, Hieshima GB. Dural arteriovenous fistulas of the marginal sinus. Am J Neuroradiol. 1997;18(8):1565–72. - PMC - PubMed

LinkOut - more resources