Development of a dural arteriovenous fistula around the jugular valve after transvenous embolization of cavernous dural arteriovenous fistula

Surg Neurol. 1999 Feb;51(2):174-6. doi: 10.1016/s0090-3019(97)00420-5.


Background: Endovascular therapy for dural arteriovenous fistulas (DAVFs) is not without any risks, although it has been generally accepted to be a safe procedure. In this paper, we report a very rare complication: metachronous DAVF around a jugular valve 4 months after transvenous embolization.

Case description: A 43-year-old woman presented with left proptosis, chemosis, and double vision. Cerebral angiography demonstrated a left cavernous DAVF. The patient's symptoms resolved almost completely after embolization with platinum coils via the superior ophthalmic vein. Four months later, angiography revealed a metachronous DAVF around a jugular valve.

Conclusion: To our knowledge, only four such cases have been reported in the literature. Careful follow-up of patients treated with transvenous embolization and accumulation of such cases are needed to understand the pathogenesis of multiple DAVFs.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Arteriovenous Fistula / diagnostic imaging
  • Arteriovenous Fistula / etiology*
  • Arteriovenous Fistula / therapy*
  • Cavernous Sinus*
  • Cerebral Angiography
  • Dura Mater / blood supply*
  • Embolization, Therapeutic / adverse effects*
  • Embolization, Therapeutic / methods
  • Female
  • Humans
  • Jugular Veins