Japanese Journal of Stroke
Online ISSN : 1883-1923
Print ISSN : 0912-0726
ISSN-L : 0912-0726
Case Reports
Dural arteriovenous fistula presenting with brainstem hemorrhage: case report
Natsue KishidaHiroyuki ToiShunji MatsubaraKohei MatsumuraHiroki TakaiHirotaka HaginoNobuhisa MatsushitaKimihiko YokosukaKazuhiro HiranoMasaaki Uno
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2015 Volume 37 Issue 1 Pages 7-11

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Abstract
Objective: We report a rare case of sigmoid sinus dural arteriovenous fistula causing brainstem hemorrhage.Case Presentation: The patient was a 77-year-old woman who presented with right hemiparesis. Computed tomography of the head revealed pontine hemorrhage with marked perifocal edema. Cerebral angiography showed a sigmoid sinus dural arteriovenous fistula with drainage to the superior petrosal sinus connecting to the petrosal and transverse pontine veins. Transvenous embolization was successfully performed, resulting in complete occlusion.Conclusion: Brainstem hemorrhage can result from dural arteriovenous fistula. Careful diagnosis is important to avoid inappropriate treatment and adverse events.
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© 2015 The Japan Stroke Society
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