Catheter Cerebral Angiogram images not available - however report as follows.
Selective cannulation of right and left carotid and right and left vertebral arteries.
This study shows multiple dural fistulae. There is fistula at the right transverse sinus with feeders from, right occipital and meningeal branches of right external carotid, dural branches of right posterior cerebral via right P-com and meningeal branches of the right vertebral artery.
On the left side there is a fistula at the lateral end of the left transverse sinus with dural branches of the left ICA, left occipital and middle meningeal from the left ECA. There is fistula at the torcula with branches from the dural branches of left vertebral and small branches from right posterior cerebral artery.
Carotids in the cervical, petrous, cavernous, paraclinoid and supraclinoid segments are with in normal limits.
Flow reversal in the sinuses in keeping with venous hypertension.
Comment: Multiple dural fistulae