ArticleCureus2024
A Complex, Convexity, Anterior Superior Sagittal Sinus Dural Arteriovenous Fistula Secondary to Venous Sinus Thrombosis.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We report the management of a convexity dural arteriovenous fistula (dAVF) in an uncommon anterior superior sagittal sinus (SSS) location. This was a high-risk Cognard IIa+b dAVF, which is notoriously complex to treat. Endoscopic management alone for complex SSS dAVFs is challenging due to the often bilateral arterial supply to the fistula, as demonstrated in this case. Hence, proceeding straight to surgery is a viable option, skipping the need for interventional radiological (IR) coiling. This is the first reported case of a fistula secondary to venous sinus thrombosis in a coeliac patient. Our patient initially underwent endoscopic treatment, which failed due to arterial supply from other arteries continuing to supply the fistula. The patient then underwent a midline craniotomy where the feeding arteries were ligated, followed by division of the anterior third of the SSS, allowing further division and ligation of arterial feeders. It is essential to be aware of the prothrombotic state of coeliacs and the risk of thrombosis and fistula formation. This allows physicians to recognize the signs of raised intracranial pressure, facilitating early intervention.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.