Arterialization of Cerebral Veins on Dynamic MDCT Angiography: A Possible Sign of a Dural Arteriovenous Fistula
Stephan Meckel1,
Karl-Olof Lovblad2,
German Abdo2,
Diego San Millan Ruiz2,
Jacqueline Delavelle2,
Ernst-Wilhelm Radue1,
Daniel A. Ruefenacht2 and
Stephan G. Wetzel1
1 Division of Neuroradiology, Department of Radiology, University Hospital
Basel, Petersgraben 4, Basel CH-4031, Switzerland.
2 Division of Neuroradiology, Department of Radiology, University Hospital
Geneva, Geneva, Switzerland.

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Fig. 1A. 70-year-old man with type 2b dural arteriovenous fistula in
left sigmoid sinus. Axial CT angiographic (CTA) image shows high-intensity
filling in left sigmoid sinus (white arrow); note adjacent
pacchionian granulation. Contrast intensity is same as that of basilar artery
(black arrow). Contralateral sinus structures show less intense
contrast intensity (arrowhead).
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Fig. 1B. 70-year-old man with type 2b dural arteriovenous fistula in
left sigmoid sinus. Axial CTA image obtained at level of cavernous portion of
internal carotid artery shows arterial contrast intensity within left vein of
Labbé (arrow) caused by backflow from fistula. Superior
sagittal sinus shows lower venous intensity (arrowhead).
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Fig. 1C. 70-year-old man with type 2b dural arteriovenous fistula in
left sigmoid sinus. Cerebral angiogram with external carotid artery injection
and mask subtraction clearly shows arterial feeders from occipital artery and
reflux into vein of Labbé.
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Fig. 2. 77-year-old woman with type 2b dural arteriovenous fistula at
junction of left transverse and sigmoid sinuses. Reconstructed coronal CT
angiographic image of posterior fossa obtained at level of foramen magnum
shows filling of left transverse sinus with high-contrast arterialized blood.
Right transverse sinus shows less intense venous contrast filling.
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Copyright © 2005 by the American Roentgen Ray Society.