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Year : 2020  |  Volume : 23  |  Issue : 6  |  Page : 879-882

Intra-Arterial Onyx-18 embolization of a dural arteriovenous fistula of the sphenoparietal sinus using scepter C balloon microcatheter: Case report

1 Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China
2 Department of Neurosurgery, Uludag University School of Medicine, Bursa, Turkey
3 Department of Neurosurgery, Affiliated Haikou Hospital, Xiangya School of Medicine, Central South University, Hainan, China

Correspondence Address:
Dr. H Zhang
Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45 Changchun Street, Xicheng District, Beijing 10053
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/njcp.njcp_620_18

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Dural arteriovenous fistulas (DAVFs) of the sphenoparietal sinus are extremely rare. In the present report, we describe a 46-year-old male patient who presented with headache, pulsatile tinnitus on the right side, and a single course of focal seizure starting 2 months after a closed head injury causing right temporal and occipital bone fractures. Cranial magnetic resonance imaging which was obtained 11 months after the injury showed white matter necrosis in the right frontal lobe while digital subtraction angiography (DSA) revealed a right-sided DAVF in the region of sphenoparietal sinus. The patient underwent successful intra-arterial Onyx-18 embolization using Scepter C balloon microcatheter. Complete occlusion of the fistula was confirmed by control cerebral DSA at 6-month follow-up. Thus, we conclude that double lumen Scepter C balloon microcatheter is a feasible, safe and effective treatment for intra-arterial Onyx-18 embolization of the DAVFs of the sphenoparietal sinus, particularly in cases with high tortuosity.

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