Primary intraventricular hemorrhage from dural arteriovenous fistula

Irie, Fumi; Fujimoto, Shigeru; Uda, Ken; Toyoda, Kazunori; Hagiwara, Noriko; Inoue, Tooru; Okada, Yasushi

doi:10.1016/S0022-510X(03)00176-X

« Previous Next »Journal of the Neurological Sciences
Volume 215, Issue 1 , Pages 115-118, 15 November 2003

Primary intraventricular hemorrhage from dural arteriovenous fistula

Fumi Irie
- Department of Cerebrovascular Disease and Clinical Research Institute, National Kyushu Medical Center, 1-8-1 Jigyohama, Chuou, Fukuoka 810-8563, Japan
Shigeru Fujimoto
- Department of Cerebrovascular Disease and Clinical Research Institute, National Kyushu Medical Center, 1-8-1 Jigyohama, Chuou, Fukuoka 810-8563, Japan
Ken Uda
- Department of Neurosurgery, National Kyushu Medical Center, Fukuoka 810-8563, Japan
Kazunori Toyoda
- Corresponding author. Tel.: +81-92-852-0700; fax: +81-92-846-8485.
- Department of Cerebrovascular Disease and Clinical Research Institute, National Kyushu Medical Center, 1-8-1 Jigyohama, Chuou, Fukuoka 810-8563, Japan
Noriko Hagiwara
- Department of Cerebrovascular Disease and Clinical Research Institute, National Kyushu Medical Center, 1-8-1 Jigyohama, Chuou, Fukuoka 810-8563, Japan
Tooru Inoue
- Department of Neurosurgery, National Kyushu Medical Center, Fukuoka 810-8563, Japan
Yasushi Okada
- Department of Cerebrovascular Disease and Clinical Research Institute, National Kyushu Medical Center, 1-8-1 Jigyohama, Chuou, Fukuoka 810-8563, Japan

Received 21 February 2003; received in revised form 23 May 2003; accepted 27 May 2003.

Abstract

Dural arteriovenous fistulas (AVFs) cause several types of intracranial hemorrhage, but rarely cause primary intraventricular hemorrhage (IVH). We report a 67-year-old man with sudden headache and a long history of a pulsatile bruit who developed intraventricular hemorrhage without any parenchymal hemorrhage. Cerebral angiogram revealed dural arteriovenous fistulas in transverse and sigmoid sinuses. Severe retrograde venous drainage seemed to have caused backward flow into the subependymal veins with their consequential rupture. Transvenous embolization was successful.

Keywords: Dural arteriovenous fistula, Transverse–sigmoid sinuses, Intraventricular hemorrhage, Subependymal vein, Transvenous embolization