Co-occurrence of Dural Arteriovenous Fistula and Meningioma: A Rare Case and Systematic Review

Overview

Journal World Neurosurg X

Date 2023 May 26

PMID 37235061

Authors

Abhishek S Bhutada

Srijan Adhikari

Joshua Cuoco

Alexander In

John Entwistle

Mark R Witcher

Affiliations

Soon will be listed here.

Abstract

Background: The coexistence of meningioma and dural arteriovenous fistula (dAVF) is a rare, but highly complex condition. Various pathophysiological mechanisms underlie intracranial meningiomas with continuous or distant dAVFs. We describe a case of coexisting meningioma and dAVF with a systematic review of the literature.

Result: Including the present case, there are 21 reported cases of coexisting intracranial dAVF and meningioma. The patients' ages ranged from 23 to 76 years, with a mean age of 61 years. The most common presenting symptom was headache. The dAVFs were commonly located at the transverse-sigmoid sinus (43%) and superior sagittal sinus (24%). The most common meningioma locations were the tentorium and parietal convexity. In 76% of the cases, the meningioma occluded the sinus. The most common dAVF treatment was transcatheter arterial embolization, followed by tumor resection (52%). Among the 20 cases with available outcome data, 90% reported favorable outcomes.

Conclusion: This report highlights some of the features of coexisting dAVF and meningioma and presents a systematic review of other reports on this phenomenon. Through an in-depth analysis of the literature, we highlight some of the leading theories regarding the causes of concomitant dAVF and meningiomas. Our report supports one of the leading theories that impaired venous return, whether through the occlusion of sinuses or sinus manipulation during surgery, plays a role in the development of dAVF. Further understanding may help guide future clinical decision-making and surgical planning.

References

Yokoyama S, Nakagawa I, Kotsugi M, Wajima D, Wada T, Kichikawa K . Dural Arteriovenous Fistula Arising after Intracranial Surgery in Posterior Fossa of Nondominant Sinus: Two Cases and Literature Review. Asian J Neurosurg. 2019; 14(2):602-606. PMC: 6516029. DOI: 10.4103/ajns.AJNS_5_19. View

Inoue T, Nishimura S, Hayashi N, Numagami Y, Tomita T, Nishijima M . Cavernous sinus dural arteriovenous fistula associated with the development of sphenoidal ridge meningioma--case report. Neurol Med Chir (Tokyo). 2007; 47(7):317-21. DOI: 10.2176/nmc.47.317. View

Chung Y, Lee K, Lee H, Lee N . Tentorial meningioma encroaching the transverse sinuses and sigmoid sinus junction area associated with dural arteriovenous fistulous malformation: a case report. J Korean Med Sci. 1999; 14(4):465-8. PMC: 3054406. DOI: 10.3346/jkms.1999.14.4.465. View

Vilela P, Willinsky R, terBrugge K . Dural arteriovenous fistula associated with neoplastic dural sinus thrombosis: two cases. Neuroradiology. 2001; 43(10):816-20. DOI: 10.1007/s002340100570. View

Sawamura Y, Janzer R, Fankhauser H, Tribolet N . Arteriovenous malformation in meningothelial meningioma: case report. Neurosurgery. 1991; 29(1):109-12; discussion 112-3. View

Nakazawa T, Aihara M, Mizuno H, Yamaguchi R, Yoshimoto Y . Superior sagittal sinus dural arteriovenous fistula with changes in angiographic findings associated with contiguous parasagittal meningioma: A case report. Surg Neurol Int. 2022; 13:275. PMC: 9282788. DOI: 10.25259/SNI_95_2022. View

Sakaki T, Morimoto T, Nakase H, Kakizaki T, Nagata K . Dural arteriovenous fistula of the posterior fossa developing after surgical occlusion of the sigmoid sinus. Report of five cases. J Neurosurg. 1996; 84(1):113-8. DOI: 10.3171/jns.1996.84.1.0113. View

Enatsu R, Asahi M, Matsumoto M, Hirai O . Meningioma-related dural arteriovenous fistula fed via a vascular tumor bed: a case report and literature review. Clin Neurol Neurosurg. 2012; 114(7):1010-3. DOI: 10.1016/j.clineuro.2012.01.017. View

Vellimana A, Daniels D, Shah M, Zipfel G, Lanzino G . Dural arteriovenous fistulas associated with benign meningeal tumors. Acta Neurochir (Wien). 2013; 156(3):535-44. DOI: 10.1007/s00701-013-1946-z. View

10.

Louis D, Perry A, Reifenberger G, von Deimling A, Figarella-Branger D, Cavenee W . The 2016 World Health Organization Classification of Tumors of the Central Nervous System: a summary. Acta Neuropathol. 2016; 131(6):803-20. DOI: 10.1007/s00401-016-1545-1. View

11.

Yajima H, Miyawaki S, Koizumi S, Kiyofuji S, Hongo H, Segawa M . Development of a sigmoid sinus dural arteriovenous fistula secondary to sigmoid sinus thrombosis after resection of a foramen magnum meningioma: illustrative case. J Neurosurg Case Lessons. 2022; 4(5). PMC: 9706339. DOI: 10.3171/CASE22253. View

12.

Ahn J, Lee B, Cho Y, Joo J, Lee K . Dural arteriovenous fistula associated with meningioma: spontaneous disappearance after tumor removal. Neurol Med Chir (Tokyo). 2003; 43(6):308-11. DOI: 10.2176/nmc.43.308. View

13.

Arnautovic K, Al-Mefty O, Angtuaco E, Phares L . Dural arteriovenous malformations of the transverse/sigmoid sinus acquired from dominant sinus occlusion by a tumor: report of two cases. Neurosurgery. 1998; 42(2):383-8. DOI: 10.1097/00006123-199802000-00112. View

14.

Gigliotti M, Patel N, Simon S . Superior sagittal sinus dural arteriovenous fistula caused by treatment of meningioma masquerades as sinus thrombosis. J Cerebrovasc Endovasc Neurosurg. 2021; 23(3):260-265. PMC: 8497717. DOI: 10.7461/jcen.2021.E2021.01.002. View

15.

Fukawa O, Tanaka T . [The association of intracranial meningioma with arteriovenous malformation and aneurysm (author's transl)]. No Shinkei Geka. 1977; 5(2):175-80. View

16.

Horinaka N, Nonaka Y, Nakayama T, Mori K, Wada R, Maeda M . Dural arteriovenous fistula of the transverse sinus with concomitant ipsilateral meningioma. Acta Neurochir (Wien). 2003; 145(6):501-4; discussion 504. DOI: 10.1007/s00701-003-0030-5. View

17.

Miller P, Albright A . Posterior dural arteriovenous malformation and medulloblastoma in an infant: case report. Neurosurgery. 1993; 32(1):126-30. DOI: 10.1227/00006123-199301000-00020. View

18.

Wiemels J, Wrensch M, Claus E . Epidemiology and etiology of meningioma. J Neurooncol. 2010; 99(3):307-14. PMC: 2945461. DOI: 10.1007/s11060-010-0386-3. View

19.

Park J, Lee J . Acquired dural arteriovenous fistula after cerebellopontine angle meningioma: A case report. Medicine (Baltimore). 2022; 101(28):e29671. PMC: 11132378. DOI: 10.1097/MD.0000000000029671. View

20.

Reynolds M, Lanzino G, Zipfel G . Intracranial Dural Arteriovenous Fistulae. Stroke. 2017; 48(5):1424-1431. PMC: 5435465. DOI: 10.1161/STROKEAHA.116.012784. View