Successful Stentings for Bilateral Jugular Bulb Stenosis/Occlusion in a Case of Bilateral Transverse Sinuses Dural Arteriovenous Fistulas: Case Report

Abstract

Objective: We describe successful stentings for treatment of bilateral jugular bulb stenosis and occlusion in a case of dural arteriovenous fistulas (d-AVFs) of bilateral transverse sinuses.Case Presentations: A 71-year-old woman presented with rapidly progressive cognitive impairment as well as consciousness disturbance, and cerebral angiography demonstrated d-AVFs of bilateral transverse sinuses, right jugular bulb occlusion, and left jugular bulb stenosis accompanied by marked intracranial venous congestion. The symptoms were temporarily alleviated after transarterial and transvenous embolization, but recurred one year later. Curative embolization was thought to be difficult, and stenting for stenosis/occlusion of the bilateral jugular bulbs, which were considered to be causing her symptoms, was performed and resulted in improvements in the condition.Conclusion: Stent for treating sinus stenosis/occlusion accompanying d-AVF is effective to improve venous congestion and hypertension.