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Delayed Dural Arteriovenous Fistula at the Transverse-Sigmoid Sinus Secondary to Petroclival Meningioma Surgery Via Far Lateral Approach

Xue, Xiying MD*; Hou, Yunxia MD; Chen, Jingming MD; Yuan, Xunhui MD§; Sun, Gaoling MD§; Guo, Liemei MD, PhD||

doi: 10.1097/SCS.0000000000005578
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Intracranial dural arteriovenous fistulas (DAVFs) are typified by pathological anastomoses between meningeal arteries and dural venous sinuses or cortical veins. There are many causes contributing to the etiology of DAVFs. Among the variable causes, acquired DAVFs secondary to craniotomy had rarely been reported, especially for delayed DAVFs at the transverse-sigmoid sinus. Till now, there are only 12 published cases of delayed DAVFs at the transverse-sigmoid sinus secondary to craniotomy. Herein, the authors describe such an extraordinary rare case secondary to petroclival meningioma resection via far lateral approach, and to the best knowledge of us, this is the first well-documented case of delayed DAVF at the transverse-sigmoid sinus following far lateral craniotomy. Furthermore, cases of delayed DAVFs at the transverse-sigmoid sinus secondary to craniotomy were reviewed and investigated, and the clinical characteristics and treatment were also broadly discussed.

*Department of Emergency, Shouguang People's Hospital of Shandong Province, Shouguang

Department of Clinical Laboratory

Department of Orthopedics

§Department of Neurosurgery, Yidu Central Hospital of Weifang, Qingzhou

||Department of Neurosurgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.

Address correspondence and reprint requests to Liemei Guo, MD, PhD, Department of Neurosurgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 160, Pujian Road, District Pudong, Shanghai 200127, China; E-mail: guolm001@126.com

Received 19 February, 2019

Accepted 9 March, 2019

XX and YH contributed equally to this study.

The authors report no conflicts of interest.

Supplemental digital contents are available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jcraniofacialsurgery.com).

© 2019 by Mutaz B. Habal, MD.