• Purvee D Patel, Christopher Talbot, Ali Tayebi Meybodi, Fawaz Al-Mufti, Hai Sun, Priyank Khandelwal, Anil Nanda, Sudipta Roychowdhury, and Gaurav Gupta.
• Department of Neurosurgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
• World Neurosurg. 2020 Dec 1; 144: 184.

AbstractTentorial dural arteriovenous fistulas have an increased risk of rupture and hemorrhage, and therefore require urgent treatment to occlude the fistula and proximal venous drainage. This is usually accomplished via endovascular treatment. We present a case of a Cognard grade IV dural arteriovenous fistula that presented as trigeminal neuralgia. This video showcases the angiographic vascular composition of the lesion with main feeders coming from the middle meningeal artery and the tentorial artery of Bernasconi and Cassinari. Details, benefits, and risks of the procedure were thoroughly discussed with the patient and consent was obtained prior to the procedure. We performed endovascular Onyx embolization through a distal branch of the right middle meningeal artery. We were able to successfully occlude the lesion using Onyx embolization and the patient had significant improvement of her pretreatment trigeminal neuralgia.Copyright © 2020 Elsevier Inc. All rights reserved.

16 keywords...

hide…