A SPHENOIDAL RIDGE MENINGIOMA WITH CONCOMITANT BILATERAL ARTERIOVENOUS FISTULA OF THE CAVERNOUS SINUS: CASE REPORT AND A SYSTEMATIC REVIEW
In this article described the rarely case a sphenoidal ridge meningioma with concomitant bilateral arteriovenous fistula of the cavernous sinus. A 68-year-old woman was evaluated for headache, decrease in vision and tinnitis. Magnetic resonance imaging and angiography revealed the coexistence of a sphenoidal ridge meningioma and bilateral arteriovenous fistula of the cavernous sinus. After transvenous embolization of the cavernous sinus and transarterial embolization the tumor via the external carotid artery, the tumor was totally removed. Postoperatively, the dural AVM was completely occluded, and the histological examination of the tumor showed it to be a meningioma. The follow-up was 1 year. The data for tumor recurrence or fistula is not obtained. The article presents a review of the literature regarding the combination of meningiomas and AV fistulas of various localization. Discussed the possibility of the influence of growth and localization meningiomas on the appearance of AV - fistulas.