SUBDURAL HEMATOMA CAUSED BY DURAL ARTERIOVENOUS FISTULA: REPORT OF A RARE MANIFESTATION

Duy Linh Nguyen1,, Vu Dang Nguyen1, Huu Tai Nguyen1, Dinh Thao Trinh1, Thi Chi Lan Le1, Thoai Ky Ha1
1 Can Tho University of Medicine and Pharmacy

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Abstract

Dural arteriovenous fistula (dAVF) presenting with acute subdural hematoma, which is not related to head injury, is rare. Dural arteriovenous fistula is the second most common type of cerebrovascular malformation that exhibits as arteriovenous shunting. We report a case of dural AVF presenting with acute subdural hematoma (ASDH) and provide a review of the literature. A 21-year-old man presented with headache on the left side, the only symptom that drove him to the hospital. Computed tomography demonstrated a small right ASDH. Cerebral angiography showed a dural AVF at bilateral temporal regions with the feeders from bilateral meningeal and temporal arteries draining into the cortical veins.

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References

1. Geraldes R. et al. (2012) Rapidly progressive cognitive impairment, ataxia, and myoclonus: An unusual presentation of a dural arteriovenous fistula. J. Stroke Cereb. Dis. 2012, 21, e613–e615.
2. Guichen Li et al (2019), Isolated subdural hematoma secondary to Dural arteriovenous fistula: a case report and literature review, BMC Neurology (2019),19-43.
3. Kim E. (2016), Refractory spontaneous chronic subdural hematoma: a rare presentation of an intracranial arteriovenous fistula. J Cerebrovasc Endovasc Neurosurg. 2016,18(4), 373– 378.
4. Morparia N, Miller G, Rabinstein A, Lanzino G, Kumar N(2012), Cognitive decline and hypersomnolence: Thalamic manifestations of a tentorial dural arteriovenous fistula (dAVF). Neurocrit. Care 2012, 17, 429–433.
5. Saito et al (2014), A Case of Dural Arteriovenous Fistula Presenting as Acute Subdural Hematoma, Case Rep Neurol 2014, 6, 122–125.
6. Suyama Y, et al. (2018), Dural arteriovenous fistula presenting with acute subdural hematoma showing impending cerebral herniation, BMJ Case Rep 2018,1- 4.
7. Tabibian, et al. (2021), Incidental DAVF found during MMA embolization for CSDH, Surgical Neurology International, 2021, 12, 438.
8. Yamauchi et al. (2019), Subdural Hematoma by a Dural Arteriovenous Fistula, Case Rep Neurol 2019,11,312–318.
9. Zenaida Milagros Hernández-Díaz et al. (2019), Spontaneous Subdural Hematoma and Behavioral Changes Due to a Dural Arteriovenous Fistula. A Case Report and Literature Review, Behav. Sci., 9, 63.