Abstract
An 80-year-old female presented with a long history of severe pulsatile tinnitus, vertigo, and decreased hearing. She was found to have a large right-sided tentorial arteriovenous fistula (AVF) with enlarged deep draining veins, including the vein of Rosenthal. The patient underwent Onyx embolization of the fistula via a combined transarterial and transvenous approach resulting in complete obliteration of the fistula. Her symptoms improved immediately after the procedure and at 6-months' follow-up she was clinically asymptomatic with no evidence of residual fistula on neuroimaging. Transvenous embolization of AVF is at times necessary when transarterial access is not possible.
Original language | English (US) |
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Article number | V12 |
Journal | Neurosurgical focus |
Volume | 46 |
DOIs | |
State | Published - 2019 |
Keywords
- Arteriovenous fistula
- Endovascular procedures
- Onyx
- Tentorium cerebelli
- Video
ASJC Scopus subject areas
- Surgery
- Clinical Neurology