Wan Mohammad Ibrahim WAN AZMAN (Malaysia) presents a 60-year-old woman with symptoms of venous hypertension (tinnitus, diplopia and papilledema) and developing cognitive impairment.
After an initial diagnosis of bilateral occipital dural AVF, the patient continued to present with symptoms, and further investigations revealed multiple feeders and a trapped isolated sinus.
The medical team had to go through several techniques to treat the patient, from ligation of the bilateral occipital artery as a first intention, to trans-arterial embolization, to stenting and plasty.