A pterional dural arteriovenous fistula with a dangerous surprise: the posterior cerebellar artery arising from the middle meningeal artery.

Author:

Lozupone Emilio1,Scalise Simona1,Trombatore Pietro2,Pauciulo Alfredo1,Direnzo Vita1,Signorelli Francesco3,Barbarini Leonardo1,Paladini Adriana1

Affiliation:

1. Ospedale Vito Fazzi

2. Ospedale Garibaldi

3. University of Bari Aldo Moro

Abstract

Abstract We describe a case of an adult patient with a left temporal hematoma due to a dural arteriovenous fistula (DAVF) of the pterion. The left middle meningeal artery (MMA) was the major feeding artery of the DAVF and was also supporting the territory of the ipsilateral posterior inferior cerebellar artery (PICA). This is first case described in the literature of a PICA arising from the MMA. Accurate knowledge of vascular anatomy and its variations is essential for the endovascular treatment of cerebrovascular diseases. A complete diagnostic angiography is crucial to plan the correct endovascular strategy and to minimize the risk of complications.

Publisher

Research Square Platform LLC

Reference8 articles.

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