Journal of Cerebrovascular Disease 2020 Vol.3 No.4 29-36

Postoperative Development of Dural Arteriovenous Fistulas after Aneurysmal Clipping: A Case Report and Literature Review

Author(s): Wei-Jian Fan1,Min Yan1,Hao Jiang2,Jian-Wei Pan2

Affiliation(s): 1Department of Neurosurgery, The First Affiliated Hospital, College of Medicine, Zhejiang University
2Stroke Center, Department of Neurosurgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China

Corresponding Author: Jian-Wei Pan

Corresponding email(s): 1202053@zju.edu.cn

Key Words: Acquired dural arteriovenous fistula; Pathogenesis; Dural sinus thrombosis; Arteriovenous shunt; Angiogenesis; Treatment

Abstract:

Dural arteriovenous fistulas (DAVFs) are rare vascular abnormalities that comprise 10%-15% of all intracranial arteriovenous malformations. The pathogenesis of DAVFs is still uncertain, although growing angiographic evidence supports the acquired characteristics of this vascular disease. Here, we present the case of a 39-year-old man with incidental bilateral paraophthalmic aneurysms who experienced spontaneous retroocular pressure and mild headache. Magnetic resonance angiography revealed enlargement and a change in the shape of the right paraophthalmic aneurysm. The patient underwent a right pterional craniotomy for the intracranial aneurysms. Five months later, he presented with progressive pulsatile tinnitus. A diagnostic angiogram demonstrated a Cognard type I DAVF of the right sigmoid sinus. Based on this case, angiography monitoring is recommended. Herein we review and summarize, postoperative DAVF cases. Common causes of acquired DAVFs and treatment selection are discussed based on relevant literature.

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On-line Access: 2020-12-01

Received: 2020-08-15

Revision Accepted: 2020-10-26

Publish: 2020-12-01

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