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Intracranial Hypertension Secondary to Cervical Dural Arteriovenous Fistula
Idiopathic intracranial hypertension (IIH) is a disease of mainly unknown etiology. Latest theories as to the pathogenesis have postulated a final common pathway of cerebral venous hypertension secondary to venous outflow impairment leading to decreased cerebrospinal fluid absorption. We present the...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159076/ https://www.ncbi.nlm.nih.gov/pubmed/30283565 http://dx.doi.org/10.4103/ajns.AJNS_328_16 |
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author | Pülhorn, Heinke Chandran, Arun Nahser, Hans Wilby, Martin John McMahon, Catherine |
author_facet | Pülhorn, Heinke Chandran, Arun Nahser, Hans Wilby, Martin John McMahon, Catherine |
author_sort | Pülhorn, Heinke |
collection | PubMed |
description | Idiopathic intracranial hypertension (IIH) is a disease of mainly unknown etiology. Latest theories as to the pathogenesis have postulated a final common pathway of cerebral venous hypertension secondary to venous outflow impairment leading to decreased cerebrospinal fluid absorption. We present the case of a 42-year-old female who was treated for several years for headache and for approximately 12 months for IIH until appropriate imaging showed a right-sided cervical dural arteriovenous fistula (AVF) at the level of C4. The patient's IIH symptoms resolved following surgical excision of the fistula. We suggest that the cranial venous outflow impairment secondary to the cervical AVF was responsible for intracranial hypertension and that complete investigation of IIH patients should include imaging of the neck vasculature. |
format | Online Article Text |
id | pubmed-6159076 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-61590762018-10-03 Intracranial Hypertension Secondary to Cervical Dural Arteriovenous Fistula Pülhorn, Heinke Chandran, Arun Nahser, Hans Wilby, Martin John McMahon, Catherine Asian J Neurosurg Case Report Idiopathic intracranial hypertension (IIH) is a disease of mainly unknown etiology. Latest theories as to the pathogenesis have postulated a final common pathway of cerebral venous hypertension secondary to venous outflow impairment leading to decreased cerebrospinal fluid absorption. We present the case of a 42-year-old female who was treated for several years for headache and for approximately 12 months for IIH until appropriate imaging showed a right-sided cervical dural arteriovenous fistula (AVF) at the level of C4. The patient's IIH symptoms resolved following surgical excision of the fistula. We suggest that the cranial venous outflow impairment secondary to the cervical AVF was responsible for intracranial hypertension and that complete investigation of IIH patients should include imaging of the neck vasculature. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC6159076/ /pubmed/30283565 http://dx.doi.org/10.4103/ajns.AJNS_328_16 Text en Copyright: © 2018 Asian Journal of Neurosurgery http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Pülhorn, Heinke Chandran, Arun Nahser, Hans Wilby, Martin John McMahon, Catherine Intracranial Hypertension Secondary to Cervical Dural Arteriovenous Fistula |
title | Intracranial Hypertension Secondary to Cervical Dural Arteriovenous Fistula |
title_full | Intracranial Hypertension Secondary to Cervical Dural Arteriovenous Fistula |
title_fullStr | Intracranial Hypertension Secondary to Cervical Dural Arteriovenous Fistula |
title_full_unstemmed | Intracranial Hypertension Secondary to Cervical Dural Arteriovenous Fistula |
title_short | Intracranial Hypertension Secondary to Cervical Dural Arteriovenous Fistula |
title_sort | intracranial hypertension secondary to cervical dural arteriovenous fistula |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159076/ https://www.ncbi.nlm.nih.gov/pubmed/30283565 http://dx.doi.org/10.4103/ajns.AJNS_328_16 |
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