Intra-operative emergence of occult dural arteriovenous fistula after middle meningeal artery embolization for chronic subdural hematoma: Case report and literature review
Dural arteriovenous fistulae of the middle meningeal artery (MMA-dAVF) are high risk lesions that can lead to intracranial hemorrhage. We describe the case of an adult male that presented with chronic subdural hematomas and was treated with burr hole craniotomy plus middle meningeal artery (MMA) emb...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-05-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043321008736 |
| _version_ | 1819062740432453632 |
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| author | Armin Tavakkoli, BA Julio D. Montejo, MD Daniel R. Calnan, MD, PhD Timothy C. Ryken, MD Clifford J. Eskey, MD, PhD |
| author_facet | Armin Tavakkoli, BA Julio D. Montejo, MD Daniel R. Calnan, MD, PhD Timothy C. Ryken, MD Clifford J. Eskey, MD, PhD |
| author_sort | Armin Tavakkoli, BA |
| collection | DOAJ |
| description | Dural arteriovenous fistulae of the middle meningeal artery (MMA-dAVF) are high risk lesions that can lead to intracranial hemorrhage. We describe the case of an adult male that presented with chronic subdural hematomas and was treated with burr hole craniotomy plus middle meningeal artery (MMA) embolization. Although the pre-embolization angiogram showed no signs of a fistula, a fistula arising from the MMA and draining into the superior sagittal sinus emerged intra-operatively. To our knowledge, this is the first case of intra-operative emergence of occult MMA-dAVF with intracranial drainage during MMA embolization for chronic subdural hematoma treatment. This observation supports monitoring for and embolizing spontaneous MMA-dAVF following MMA embolization. |
| first_indexed | 2024-12-21T15:03:35Z |
| format | Article |
| id | doaj.art-55836a59cfbb4874a97006fd671e093c |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-21T15:03:35Z |
| publishDate | 2022-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-55836a59cfbb4874a97006fd671e093c2022-12-21T18:59:32ZengElsevierRadiology Case Reports1930-04332022-05-0117514701474Intra-operative emergence of occult dural arteriovenous fistula after middle meningeal artery embolization for chronic subdural hematoma: Case report and literature reviewArmin Tavakkoli, BA0Julio D. Montejo, MD1Daniel R. Calnan, MD, PhD2Timothy C. Ryken, MD3Clifford J. Eskey, MD, PhD4Geisel School of Medicine at Dartmouth, Hanover, NH, 03755 LebanonSection of Neurosurgery, Dartmouth-Hitchcock Medical Center, NH, 03766 LebanonSection of Neurosurgery, Dartmouth-Hitchcock Medical Center, NH, 03766 LebanonSection of Neurosurgery, Dartmouth-Hitchcock Medical Center, NH, 03766 Lebanon; Geisel School of Medicine at Dartmouth, Hanover, NH, 03755 LebanonSection of Neurosurgery, Dartmouth-Hitchcock Medical Center, NH, 03766 Lebanon; Geisel School of Medicine at Dartmouth, Hanover, NH, 03755 Lebanon; Corresponding author.Dural arteriovenous fistulae of the middle meningeal artery (MMA-dAVF) are high risk lesions that can lead to intracranial hemorrhage. We describe the case of an adult male that presented with chronic subdural hematomas and was treated with burr hole craniotomy plus middle meningeal artery (MMA) embolization. Although the pre-embolization angiogram showed no signs of a fistula, a fistula arising from the MMA and draining into the superior sagittal sinus emerged intra-operatively. To our knowledge, this is the first case of intra-operative emergence of occult MMA-dAVF with intracranial drainage during MMA embolization for chronic subdural hematoma treatment. This observation supports monitoring for and embolizing spontaneous MMA-dAVF following MMA embolization.http://www.sciencedirect.com/science/article/pii/S1930043321008736Dural arteriovenous fistulaMiddle meningeal artery embolizationIntra-operative emergence |
| spellingShingle | Armin Tavakkoli, BA Julio D. Montejo, MD Daniel R. Calnan, MD, PhD Timothy C. Ryken, MD Clifford J. Eskey, MD, PhD Intra-operative emergence of occult dural arteriovenous fistula after middle meningeal artery embolization for chronic subdural hematoma: Case report and literature review Radiology Case Reports Dural arteriovenous fistula Middle meningeal artery embolization Intra-operative emergence |
| title | Intra-operative emergence of occult dural arteriovenous fistula after middle meningeal artery embolization for chronic subdural hematoma: Case report and literature review |
| title_full | Intra-operative emergence of occult dural arteriovenous fistula after middle meningeal artery embolization for chronic subdural hematoma: Case report and literature review |
| title_fullStr | Intra-operative emergence of occult dural arteriovenous fistula after middle meningeal artery embolization for chronic subdural hematoma: Case report and literature review |
| title_full_unstemmed | Intra-operative emergence of occult dural arteriovenous fistula after middle meningeal artery embolization for chronic subdural hematoma: Case report and literature review |
| title_short | Intra-operative emergence of occult dural arteriovenous fistula after middle meningeal artery embolization for chronic subdural hematoma: Case report and literature review |
| title_sort | intra operative emergence of occult dural arteriovenous fistula after middle meningeal artery embolization for chronic subdural hematoma case report and literature review |
| topic | Dural arteriovenous fistula Middle meningeal artery embolization Intra-operative emergence |
| url | http://www.sciencedirect.com/science/article/pii/S1930043321008736 |
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