Surgical Management of a Right Parasagittal Venous Aneurysm from a Complex AV Fistula
Abstract
This is a 62-year-old man presenting with seizures and brain congestion due to a large right parasagittal venous aneurysm secondary to an AVF involving several bilateral feeder arteries (STA, MMA, occipital). A bicoronal craniotomy was performed to clip the inlet vein of the fistula. Heavy vascularization of the peri-aneurysmal skull and scalp required pre-emptive suturing, temporary clipping of the STA, and diamond drill-guided craniotomy. The patient has since made a full neurological recovery. Publication History Article published online: 27 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
Fields of Study & Subjects
Vascular Malformations Diagnosis and Treatment
Neurosurgical Procedures and Complications
Intracranial Aneurysms: Treatment and Complications
Publication details
- Journal / source
- Journal of Neurological Surgery Part B Skull Base
- Volume
- 87
- Issue
- S 01
- Pages
- S1–S548
- Publication date
- 27 February 2026
- Language
- EN