Multiple Sagittal Sinus Arteriovenous Fistula Resulting from a Transverse Sinus Venous Thrombosis Presenting with Superior Orbital Vein Engorgement and Status Epilepticus: A Case Report

Mari Anne Kristin Dale N. Moll, Patricia Ann D. Canto,
Leah L. Shiong Shu and Jose Leonard R. Pascual

Department of Neurosciences, College of Medicine and
Philippine General Hospital, University of the Philippines Manila

A 45-year-old female presented with a 7-year history of right superior orbital vein engorgement, later developing status epilepticus. Cerebral catheter angiogram done revealed 13 dural arteriovenous fistula (DAVFs), two pial arteriovenous fistula, an occluded right transverse sinus and a markedly congested right superior opthalmic vein.

DAVFs are very rare lesions. As of this writing, there has been no published local data on DAVFs presenting as such. This is the first reported case.

Key Words: dural/pial arteriovenous fistula, venous hypertension, venous, thrombosis, arteriorvenous shunting