Adult Arteriovenous Fistula - diagnostic imaging Arteriovenous Fistula - etiology Arteriovenous Fistula - surgery Central Nervous System Vascular Malformations - diagnostic imaging Central Nervous System Vascular Malformations - surgery Cerebral Angiography Craniotomy Embolization, Therapeutic Humans Intracranial Arteriovenous Malformations - diagnostic imaging Intracranial Arteriovenous Malformations - surgery Male
Acquired unruptured dural arteriovenous fistulas (DAVFs) have been described; however, ruptured de novo DAVFs remain exceedingly rare. We describe the case of a man in his 40s who presented with a recurrent intraparenchymal haemorrhage several years after angiographic cure of an intracranial arteriovenous malformation (AVM). Repeat angiography identified a new Cognard type IV DAVF anterior to the prior craniotomy. He underwent preoperative embolisation followed by craniotomy to completely obliterate the fistulous point. This case illustrates the need for close monitoring of AVM patients, even after complete obliteration, as local recrudescence of arteriovenous shunting can occur even in adulthood.
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2 citations in Scopus
Details
Title
Rupture of a de novo dural AV fistula following adult cerebral AVM resection
Creators
Evan M Luther - University of Miami
Fatima Chagani - Florida College
Hunter King - Neurological Surgery, Drexel University College of Medicine, Philadelphia, Pennsylvania, USA
Robert Starke - University of Miami Health System
Publication Details
BMJ case reports, v 14(12), e246758
Resource Type
Journal article
Language
English
Academic Unit
Neurosurgery
Web of Science ID
WOS:000728875400002
Scopus ID
2-s2.0-85122143241
Other Identifier
991021860662504721
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