Abstract
Objective: Here we report a rare case of coiling a ruptured aneurysm on the artery of Davidoff and Schechter feedingthe falcotentorial dural arteriovenous fistula (DAVF).
Case presentation: Our patient was a 51-year-old man with a WFNS Grade 1 subarachnoid hemorrhage (SAH)resulting from a ruptured aneurysm on the posterior cerebral artery dural branch (the artery of Davidoff and Schechter)that was a major feeder of a falcotentorial DAVF. The artery harbored three aneurysms. We performed endovascularcoil embolization of the largest aneurysm and the parent vessel. The second embolization of the other feeders wasperformed, during the chronic phase, which resulted in almost total disappearance of the shunt.
Conclusion: To the best of our knowledge, this is the first report of a very rare case of coiling a ruptured aneurysm onthe artery of Davidoff and Schechter feeding a falcotentorial DAVF. This meningeal branch of the posterior cerebralartery may present as a feeding artery of the falcotentorial DAVF. The endovascular treatment for the rupturedaneurysm on the artery of Davidoff and Schechter was a useful treatment.
