A Case of Dural Arteriovenous Fistula Presenting as Acute Subdural Hematoma

Dural arteriovenous fistula (AVF) presenting with subdural hematoma is relatively rare. We report a case of dural AVF presenting as acute subdural hematoma (ASDH) and provide a review of the literature. A 56-year-old man presented with disturbance of consciousness. Computed tomography demonstrated a...

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Autores principales: Saito, Atsushi, Kawaguchi, Tomohiro, Sasaki, Tatsuya, Nishijima, Michiharu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2014
Materias:
Published online: April, 2014
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4036125/
https://www.ncbi.nlm.nih.gov/pubmed/24926261
http://dx.doi.org/10.1159/000362116
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author Saito, Atsushi
Kawaguchi, Tomohiro
Sasaki, Tatsuya
Nishijima, Michiharu
author_facet Saito, Atsushi
Kawaguchi, Tomohiro
Sasaki, Tatsuya
Nishijima, Michiharu
author_sort Saito, Atsushi
collection PubMed
description Dural arteriovenous fistula (AVF) presenting with subdural hematoma is relatively rare. We report a case of dural AVF presenting as acute subdural hematoma (ASDH) and provide a review of the literature. A 56-year-old man presented with disturbance of consciousness. Computed tomography demonstrated a right ASDH and a small right occipital subcortical hematoma. Cerebral angiography showed a dural AVF on the occipital convexity draining into the cortical veins. Emergent endovascular embolization was immediately performed and the shunt flow disappeared. Hematoma removal and external decompression were safely conducted. Combined therapy successfully recovered the patient's consciousness level. This rare case of dural AVF presenting with ASDH was treated with combined treatments of endovascular and open surgery.
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spelling pubmed-40361252014-06-12 A Case of Dural Arteriovenous Fistula Presenting as Acute Subdural Hematoma Saito, Atsushi Kawaguchi, Tomohiro Sasaki, Tatsuya Nishijima, Michiharu Case Rep Neurol Published online: April, 2014 Dural arteriovenous fistula (AVF) presenting with subdural hematoma is relatively rare. We report a case of dural AVF presenting as acute subdural hematoma (ASDH) and provide a review of the literature. A 56-year-old man presented with disturbance of consciousness. Computed tomography demonstrated a right ASDH and a small right occipital subcortical hematoma. Cerebral angiography showed a dural AVF on the occipital convexity draining into the cortical veins. Emergent endovascular embolization was immediately performed and the shunt flow disappeared. Hematoma removal and external decompression were safely conducted. Combined therapy successfully recovered the patient's consciousness level. This rare case of dural AVF presenting with ASDH was treated with combined treatments of endovascular and open surgery. S. Karger AG 2014-04-30 /pmc/articles/PMC4036125/ /pubmed/24926261 http://dx.doi.org/10.1159/000362116 Text en Copyright © 2014 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions.
spellingShingle Published online: April, 2014
Saito, Atsushi
Kawaguchi, Tomohiro
Sasaki, Tatsuya
Nishijima, Michiharu
A Case of Dural Arteriovenous Fistula Presenting as Acute Subdural Hematoma
title A Case of Dural Arteriovenous Fistula Presenting as Acute Subdural Hematoma
title_full A Case of Dural Arteriovenous Fistula Presenting as Acute Subdural Hematoma
title_fullStr A Case of Dural Arteriovenous Fistula Presenting as Acute Subdural Hematoma
title_full_unstemmed A Case of Dural Arteriovenous Fistula Presenting as Acute Subdural Hematoma
title_short A Case of Dural Arteriovenous Fistula Presenting as Acute Subdural Hematoma
title_sort case of dural arteriovenous fistula presenting as acute subdural hematoma
topic Published online: April, 2014
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4036125/
https://www.ncbi.nlm.nih.gov/pubmed/24926261
http://dx.doi.org/10.1159/000362116
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