Iatrogenic arteriovenous fistula presenting as a recurrent subdural hematoma

1992 ◽  
Vol 76 (1) ◽  
pp. 134-136 ◽  
Author(s):  
Conrad T. E. Pappas ◽  
Joseph M. Zabramski ◽  
Andrew G. Shetter
Keyword(s):  
Arteriovenous Fistula ◽  
Subdural Hematoma ◽  
Dural Arteriovenous Fistula ◽  
Operative Procedure ◽  
Correct Diagnosis ◽  
Chronic Subdural Hematoma ◽  
Burr Hole ◽  
Acute Subdural Hematoma ◽  
External Carotid ◽  
Carotid Angiography

✓ An unusual case of an iatrogenic dural arteriovenous fistula is reported. The patient presented with a history of progressive generalized headache over a period of 3 to 4 weeks. Computerized tomography demonstrated a chronic subdural hematoma that was successfully evacuated by burr-hole drainage. The patient's postoperative course was complicated by recurrent acute subdural hematomas at the drainage site. Coagulation studies were unremarkable. Selective external carotid angiography demonstrated a small dural arteriovenous fistula adjacent to the burr hole used for the initial operative procedure. Extension of the bone flap and coagulation of the fistula resulted in a good outcome. In the patient with recurrent acute subdural hematoma, the possibility of a vascular malformation must be considered. Selective internal and external carotid angiography is key to the correct diagnosis.

scholarly journals A Case of Dural Arteriovenous Fistula Presenting as Acute Subdural Hematoma

2014 ◽  
Vol 6 (1) ◽  
pp. 122-125 ◽  
Author(s):  
Atsushi Saito ◽  
Tomohiro Kawaguchi ◽  
Tatsuya Sasaki ◽  
Michiharu Nishijima
Keyword(s):  
Arteriovenous Fistula ◽  
Subdural Hematoma ◽  
Dural Arteriovenous Fistula ◽  
Acute Subdural Hematoma

Chronic subdural hematoma associated with middle meningeal arteriovenous fistula treated by a combination of embolization and burr hole drainage

1994 ◽  
Vol 42 (4) ◽  
pp. 316-319 ◽  
Author(s):  
Masaki Komiyama ◽  
Toshihiro Yasui ◽  
Katsuhiko Tamura ◽  
Yasunori Nagata ◽  
Yoshihiko Fu ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Burr Hole

scholarly journals Incidentally discovered dural arteriovenous fistula during middle meningeal artery embolization for the treatment of chronic subdural hematoma

2021 ◽  
Vol 12 ◽  
pp. 438
Author(s):  
Borna Ethan Tabibian ◽  
Elizabeth Liptrap ◽  
Jesse Jones
Keyword(s):  
Arteriovenous Fistula ◽  
Subdural Hematoma ◽  
Dural Arteriovenous Fistula ◽  
Closed Head Injury ◽  
Treatment Strategies ◽  
Chronic Subdural Hematoma ◽  
Rare Condition ◽  
Middle Meningeal Artery ◽  
Presentation Methods ◽  
Meningeal Artery

Background: The incidence of chronic subdural hematoma (CSDH) is increasing with population age and anticoagulant use. Embolization of the middle meningeal artery (MMA) is an emerging, less invasive alternative to open surgery in treating this condition. Dural arteriovenous fistula (DAVF) is a rare condition whose association with CSDH is not well understood. We present three cases with incidentally discovered DAVFs during MMA embolization for the treatment of CSDH that necessitated adjustments to initial treatment strategy. Case Descriptions: We retrospectively reviewed all MMA embolizations performed for the treatment of CSDH beginning in 9/2019 to 11/2020. Imaging and hospital course of three cases of incidentally discovered DAVF, including patient demographics, clinical presentation, methods of treatment, imaging and outcome were assessed. Thirty MMA embolizations were performed as primary or adjunct treatment of CSDH. DAVF was discovered angiographically in 3 (10%) cases. All patients reported a history of prior closed head injury, although the timing of injury and subdural blood product age did not correlate in 2 of the 3 cases. All subjects experienced complete symptomatic and radiographic resolution of the subdural hematoma and DAVF following intervention. Conclusion: As MMA embolization for CSDH becomes more frequent, so may the incidental diagnosis of DAVF. Awareness of this potential association is critical to diagnosing DAVF with angiography and altering treatment strategies as needed.

scholarly journals Rare case of dural arteriovenous fistula presenting by spontaneous acute subdural hematoma: A case report and review of literature

2020 ◽  
Vol 77 (2) ◽  
pp. 237-239
Author(s):  
Jagos Golubovic ◽  
Djula Djilvesi ◽  
Tomislav Cigic ◽  
Vladimir Papic ◽  
Bojan Jelaca ◽  
...  
Keyword(s):  
Case Report ◽  
Arteriovenous Fistula ◽  
Subdural Hematoma ◽  
Rare Case ◽  
Dural Arteriovenous Fistula ◽  
Neurological Deficits ◽  
Acute Subdural Hematoma ◽  
Arteriovenous Fistulas ◽  
Dural Arteriovenous Fistulas ◽  
Subdural Bleeding

Introduction. Dural arteriovenous fistulas represent pathological acquired bonds between the meningeal blood vessels (arteries) and drainage veins associated to them. These fistulas can vary in clinical presentations, from being asymptomatic to causing serious neurological deficits, depending mostly on the localization and size. Only one fourth of dural fistulas present themselves with intracranial bleeding. This hemorrhage is most frequently localized in subarachnoid space, occasionally intracerebrally, and seldom beneath the dura mater, ie subdurally. Case report. We presented a rare case of a patient with spontaneous acute subdural hematoma. After the initial treatment and consequent imaging methods, a diagnosis of a dural arteriovenous fistula was established. After the craniotomy for hematoma evacuation, the patient underwent an uneventful endovascular treatment. Despite the rarity of non-traumatic acute subdural hematoma caused by dural arteriovenous fistula, one should not overlook the possible pathogenesis and etiology in patients with spontaneous acute subdural hematoma. Even with the absence of the symptoms and signs of subdural bleeding, dural arteriovenous fistula, as a cause of it, should not be immediately ruled out. Conclusion. Despite the rarity of non-traumatic acute subdural hematoma being caused by dural arteriovenous fistulas, one should not immediately overlook the possible pathogenesis and etiology. Cautious approach is needed when treating such diseases even in the absence of typical symptoms.

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