2020 Volume 5 Issue 4 Pages 173-178
Objective: We report the usefulness of contralateral angiography in the treatment of a dural arteriovenous fistula (DAVF) of the anterior condylar confluence (ACC) with ocular manifestations.
Case Presentation: A 53-year-old woman had developed pulsatile tinnitus six months previously. Three months later, she also developed ocular pain, conjunctival hyperemia, and eyelid swelling. Magnetic resonance angiography revealed abnormal, hyperintense, thin vessels around the right hypoglossal canal. Arterial spin labeling showed abnormal, hyperintense signals from the right inferior petrosal vein to the superior ophthalmic vein. She was diagnosed with ACC DAVF by digital subtraction angiography. Because both the shunt point and the drainage vein anatomy could be clearly visualized on contralateral angiography, transvenous coil embolization was performed completely. The DAVF was treated, and her symptoms improved immediately.
Conclusion: Contralateral angiography is a useful method in this case because it provides a clear vascular anatomy.
