Intracranial dural arteriovenous fistula

Case contributed by Roberto Schubert
Diagnosis almost certain

Presentation

Pulsatile tinnitus.

Patient Data

Age: 60
Gender: Male

Arteriovenous fistula at the left temporal pole, supplied by the middle menigeal artery and drained by cortical veins.

Case Discussion

The exact drainage pathways in this case have to be elucidated by digital subtraction arteriography (DSA). Drainage over the cortical veins carries an increased bleeding risk.

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