De Novo Dural Arteriovenous Fistula on Draining Veins of Previously Treated Pial Arteriovenous Malformation: a Case Report

被引：5

作者：

Diana, Francesco ^{[1
,4
]}

Tosatto, Luigino ^{[2
]}

Haznedari, Nicolo ^{[3
]}

Commodaro, Christian ^{[3
]}

Ruggiero, Maria ^{[3
]}

机构：

[1] Univ Salerno, Dept Neuroradiol, AOU San Giovanni di Dio & Ruggi dAragona, Salerno, Italy

[2] Osped Gen Provinciale M Bufalini, Dept Neurosurg, AUSL Romagna, Cesena, Italy

[3] Osped Gen Provinciale M Bufalini, Dept Neuroradiol, AUSL Romagna, Cesena, Italy

[4] Maurizio Bufalini Hosp Cesena, Cesena, Italy

来源：

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES | 2021年 / 30卷 / 07期

关键词：

Dural AVF; brain AVM; Craniotomy; Angiogenesis; SECONDARY; DISEASE;

D O I：

10.1016/j.jstrokecerebrovasdis.2021.105798

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

A 71-year-old man, with a pial micro-arteriovenous malformation (pAVM) draining into the confluence of the vein of Trolard and the vein of Labbe was surgically removed, sparing these cortical veins. 4-months MR and angiographic controls showed a de novo dural arteriovenous fistula (dAVF) draining into the previously spared cortical veins. It was removed using intraoperative motor evoked potentials (MEP). This is the first case of iatrogenic dAVF developing on the same draining vein of a previously treated pAVM. De novo dAVFs are generally iatrogenic. This case suggests that the unresected venous drainage of an AVM might be the substratum for neo-angiogenetic processes; moreover inflammation related to surgery might be the trigger factor for the development of the dAVF.

引用

页数：3

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