A case of dural arteriovenous fistula draining to the diploic vein presenting with intracerebral hemorrhage
| Autor: | Yasuhiko Nishimura, Naoyuki Nakao, Kenji Kubo, Rie Yako, Osamu Masuo |
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| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Diploic vein Percutaneous Arteriovenous fistula Pterion 03 medical and health sciences 0302 clinical medicine Right middle meningeal artery Medicine Humans Cerebral Hemorrhage Intracerebral hemorrhage Central Nervous System Vascular Malformations medicine.diagnostic_test business.industry General Medicine Digital subtraction angiography Middle Aged medicine.disease Surgery Shunt (medical) medicine.anatomical_structure 030220 oncology & carcinogenesis Female Radiology business 030217 neurology & neurosurgery |
| Zdroj: | Journal of neurosurgery. 124(3) |
| ISSN: | 1933-0693 |
| Popis: | The authors report an unusual case of a dural arteriovenous fistula (dAVF) draining only to the diploic vein and causing intracerebral hemorrhage. A 62-year-old woman presented with disturbance of consciousness and left hemiparesis. Brain CT scanning on admission showed a right frontal subcortical hemorrhage. Digital subtraction angiography revealed an arteriovenous shunt located in the region around the pterion, which connected the frontal branch of the right middle meningeal artery with the anterior temporal diploic vein and drained into cortical veins in a retrograde manner through the falcine vein. The dAVF was successfully obliterated by percutaneous transarterial embolization with N-butyl-2-cyanoacrylate. The mechanism of retrograde cortical venous reflux causing intracerebral hemorrhage is discussed. |
| Databáze: | OpenAIRE |
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