Skull base vascular malformation

Conference room

Jacques MORET, Laurent SPELLE, In Sup CHOI, Anchalee CHUROJANA, Shoichiro ISHIHARA, Hae Woong JEONG, Victor Erwin JOCSON, Winston LIM ENG HOE, Umair RASHID CHAUDHRY, Tomoaki TERADA, Dang Luu VU, George Kwok Chu WONG

Ayman Zakaria MOHAMED

Watch this conference to discover the case of a 11 years-old girl with no medical history, who suddenly presented with severe occipital headache and neck rigidity. CT scan revealed subarachnoid haemorrhage with ventricular bleeding, and CTA showed a clear cranio-cervical vascular abnormality: a direct fistula between the vertebral artery and the sub-occipital cavernous sinus, with reflux to the marginal sinus, internal vertebral venous plexus and posterior meningeal veins. Furthermore, there was a small aneurysm on the latter. What was the treatment’s strategy, and how did it go? Watch it now to find out!