A case report of a multi-arterial dural arteriovenous fistula

Dural arteriovenous fistulas are rare intracranial vascular malformations with a propensity for hemorrhage. The Cognard classification system is the most widespread classification system wherein type IIB through V must be promptly treated to avoid the risk of hemorrhage. The case presented herein re...

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Main Authors: William L. Valentino, MD, MS, Charles Stout, MD, PhD, Duy Bui, MD
Format: Article
Language:English
Published: Elsevier 2022-08-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043322003582
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author William L. Valentino, MD, MS
Charles Stout, MD, PhD
Duy Bui, MD
author_facet William L. Valentino, MD, MS
Charles Stout, MD, PhD
Duy Bui, MD
author_sort William L. Valentino, MD, MS
collection DOAJ
description Dural arteriovenous fistulas are rare intracranial vascular malformations with a propensity for hemorrhage. The Cognard classification system is the most widespread classification system wherein type IIB through V must be promptly treated to avoid the risk of hemorrhage. The case presented herein reports a 71-year-old male presenting with vague non-hemorrhagic neurologic deficits found to have a Cognard type III dural arteriovenous fistula with multiple arterial feeders. Although quite obvious in retrospect, a DAVF can be missed even by an astute radiologist. This should be considered a “never miss” diagnosis as it carries a risk of intracranial hemorrhage and death.
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spelling doaj.art-f3ce7612796f471a85280b82ffe9d9812022-12-22T00:18:46ZengElsevierRadiology Case Reports1930-04332022-08-0117827902794A case report of a multi-arterial dural arteriovenous fistulaWilliam L. Valentino, MD, MS0Charles Stout, MD, PhD1Duy Bui, MD2Riverside Community Hospital, Department of Radiology, 4445 Magnolia Ave, Riverside, CA, 92501, USA; HCA Healthcare, Nashville, TN, USA; Corresponding author.Riverside Community Hospital, Department of Radiology, 4445 Magnolia Ave, Riverside, CA, 92501, USA; HCA Healthcare, Nashville, TN, USARiverside Community Hospital, Department of Radiology, 4445 Magnolia Ave, Riverside, CA, 92501, USA; HCA Healthcare, Nashville, TN, USADural arteriovenous fistulas are rare intracranial vascular malformations with a propensity for hemorrhage. The Cognard classification system is the most widespread classification system wherein type IIB through V must be promptly treated to avoid the risk of hemorrhage. The case presented herein reports a 71-year-old male presenting with vague non-hemorrhagic neurologic deficits found to have a Cognard type III dural arteriovenous fistula with multiple arterial feeders. Although quite obvious in retrospect, a DAVF can be missed even by an astute radiologist. This should be considered a “never miss” diagnosis as it carries a risk of intracranial hemorrhage and death.http://www.sciencedirect.com/science/article/pii/S1930043322003582Dural arteriovenous fistulaCognardCTADSAEmbolizationIntracranial Hemorrhage
spellingShingle William L. Valentino, MD, MS
Charles Stout, MD, PhD
Duy Bui, MD
A case report of a multi-arterial dural arteriovenous fistula
Radiology Case Reports
Dural arteriovenous fistula
Cognard
CTA
DSA
Embolization
Intracranial Hemorrhage
title A case report of a multi-arterial dural arteriovenous fistula
title_full A case report of a multi-arterial dural arteriovenous fistula
title_fullStr A case report of a multi-arterial dural arteriovenous fistula
title_full_unstemmed A case report of a multi-arterial dural arteriovenous fistula
title_short A case report of a multi-arterial dural arteriovenous fistula
title_sort case report of a multi arterial dural arteriovenous fistula
topic Dural arteriovenous fistula
Cognard
CTA
DSA
Embolization
Intracranial Hemorrhage
url http://www.sciencedirect.com/science/article/pii/S1930043322003582
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