Dural Arteriovenous Malformation on the Anterior Cranial Fossa - Case Report -

전두개와 경막에 발생한 동정맥 기형 - 증례보고 -

  • Park, Tae Il (Department of Neurosurgery, Wonju College of Medicine, Yonsei University) ;
  • Whang, Kum (Department of Neurosurgery, Wonju College of Medicine, Yonsei University) ;
  • Pyen, Jhin Soo (Department of Neurosurgery, Wonju College of Medicine, Yonsei University) ;
  • Hu, Chul (Department of Neurosurgery, Wonju College of Medicine, Yonsei University) ;
  • Hong, Soon Ki (Department of Neurosurgery, Wonju College of Medicine, Yonsei University) ;
  • Han, Yong Pyo (Department of Neurosurgery, Wonju College of Medicine, Yonsei University)
  • 박태일 (연세대학교 원주의과대학 신경외과학교실) ;
  • 황금 (연세대학교 원주의과대학 신경외과학교실) ;
  • 변진수 (연세대학교 원주의과대학 신경외과학교실) ;
  • 허철 (연세대학교 원주의과대학 신경외과학교실) ;
  • 홍순기 (연세대학교 원주의과대학 신경외과학교실) ;
  • 한용표 (연세대학교 원주의과대학 신경외과학교실)
  • Received : 2000.07.18
  • Accepted : 2000.10.11
  • Published : 2001.02.28

Abstract

Dural arteriovenous malformations(AVM) are not uncommon. Reports of intracranial dural AVM have been increasing but most of them deal with dural AVM in the region of the cavernous sinus, posterior fossa and tentorium, but those of the anterior cranial fossa are very rare. Recently, we experienced two cases of right frontal dural arteriovenous malformation fed mainly by both ethmoidal arteries. The angiographic appearance in these two cases is quite uniform. The nidus was located in the frontal dura, although their main feeders were dural arteries. They were drained through an intracerebral cortical vein associated with aneurysmal dilatation of proximal portion into superior sagittal sinus. Spontaneous intracerebral hematoma was the cause of the clinical symptoms. We report two cases of intracerebral hematoma, caused by dural AVM, which was successfully managed by surgical treatment.

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