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Spontaneous Closure Of A High-risk Dural Arterio-venous Malformation Of The Transverse Sinus

Pritz et al., 1991Other/Unknown

Pritz, M. B., & Pribram, H. F. (1991). spontaneous closure of a high-risk dural arterio-venous malformation of the transverse sinus. Surgical neurology, 36(3), 226–228. https://doi.org/10.1016/0090-3019(91)90118-s

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Abstract

The case of a 44-year-old woman with tinnitus of her left ear is presented. An arteriogram demonstrated a posterior dural arteriovenous malformation (AVM) on that side with drainage via dilated cortical veins into the superior sagittal sinus. No intervention was undertaken. When angiography was repeated 7 years later, no dural AVM was seen.

Case Details

Disease Location

Meninges

Personal Characteristics

44 years-old right handed woman

Clinical Characteristics

Tinnitus in her left ear. An arteriogram demonstrated a posterior dural arteriovenous malformation (avm) on that side with drainage via dilated cortical veins into the superior sagittal sinus

Remission Characteristics

When angiography was repeated 7 years later, no dural avm was seen.

Treatment & Mechanisms

Proposed Remission Mechanisms

Spontaneous thrombosis

Clinical Treatment

No further evaluation or treatment was undertaken until 7 years from the diagnosis. Then, anticonvulsant therapy with divalproex sodium.