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Research ArticleBrain

Assessment of Dural Arteriovenous Fistulas of the Cavernous Sinuses on 3D Dynamic MR Angiography

H. Akiba, M. Tamakawa, H. Hyodoh, K. Hyodoh, N. Yama, T. Nonaka, Y. Minamida, M. Hashimoto and M. Hareyama
American Journal of Neuroradiology October 2008, 29 (9) 1652-1657; DOI: https://doi.org/10.3174/ajnr.A1187
H. Akiba
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M. Tamakawa
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H. Hyodoh
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K. Hyodoh
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N. Yama
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T. Nonaka
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Y. Minamida
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M. Hashimoto
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M. Hareyama
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    Fig 1.

    A 52-year-old woman presenting with proptosis and chemosis in the right orbit and 2 months of diplopia resulting from anterior draining DAVFs of the right cavernous sinus. Subtracted maximum-intensity-projection images on 3D dynamic MRA. A and B, Early venous enhancement is demonstrated within the right cavernous sinus and superior ophthalmic vein in the arterial-dominant phase (A) and is more clearly identified in the next phase (B). C, The venous structures are visualized by normal venous return in the arteriovenous phase.

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    Fig 2.

    A 65-year-old woman with left frontal pain and diplopia for 1 month without congestive orbito-ocular features resulting from DAVFs of the left cavernous sinus. Reversed source sectional images in the arterial-dominant phase on 3D dynamic MRA. A and B, Early venous enhancement is demonstrated within the bilateral inferior petrosal sinuses, basilar plexus, left pterygoid plexus (A), and left cavernous sinus (B). C, In addition, retrograde cortical reflux to the left sphenoparietal sinus is a clinically important feature.

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    Fig 3.

    A diagnostic flow chart of DAVFs of the cavernous sinuses.

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American Journal of Neuroradiology: 29 (9)
American Journal of Neuroradiology
Vol. 29, Issue 9
October 2008
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H. Akiba, M. Tamakawa, H. Hyodoh, K. Hyodoh, N. Yama, T. Nonaka, Y. Minamida, M. Hashimoto, M. Hareyama
Assessment of Dural Arteriovenous Fistulas of the Cavernous Sinuses on 3D Dynamic MR Angiography
American Journal of Neuroradiology Oct 2008, 29 (9) 1652-1657; DOI: 10.3174/ajnr.A1187

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Assessment of Dural Arteriovenous Fistulas of the Cavernous Sinuses on 3D Dynamic MR Angiography
H. Akiba, M. Tamakawa, H. Hyodoh, K. Hyodoh, N. Yama, T. Nonaka, Y. Minamida, M. Hashimoto, M. Hareyama
American Journal of Neuroradiology Oct 2008, 29 (9) 1652-1657; DOI: 10.3174/ajnr.A1187
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  • Vessel-Selective 4D-MRA Using Superselective Pseudocontinuous Arterial Spin-Labeling with Keyhole and View-Sharing for Visualizing Intracranial Dural AVFs
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